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HomeMy WebLinkAbout25772-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26509 Date: 06/14/99 THIS CERTIFIES that the building ALTERATION Location of Property: 520 OAK DR (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 80 Block 2 Subdivision Filed Map No. Lot No. SOUTHOLD Lot 13 (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 15, 1999 pursuant to which Building Perr~it No. 25772-Z dated JUNE 2, 1999 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 ALTERATION OF AN EXISTING GARAGE TO HABITABLE SPACE & EXTERIOR SHOWER AS APPLIED FOR "AS BUILT". The certificate ie issued to STEPHEN J & DIANE PESSINIS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED Rev. 1/81 N/A H-064133 05/04/99 N/A Burld£n~ fnspec~ 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. 25772 Z Date JUNE 2 99 Permission is hereby granted to: STEPHEN J PESSINIS 12 HIGHGATE DRIVE SMITHTOWN~NY 11787 for : ALTERATION OF AN EXISTING GARAGE TO HABITABLE SPACE AS APPLIED FOR "AS BUILT". at premises located at 520 County Tax Map No. 473889 Section 080 pursuant to application dated APRIL Building Inspector. OAK DR SOUTHOLD Block 0002 Lot No. 013 15 99 and approved by the Fee $ 75.00 ORIGINAL Rev. 2/19/98 gOWN OF SOUTHOLD BUILDING D EPARTM~NT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the build! inspector with the following: for new building or new use: i. Final survey of .property with accurate location of all streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and 3. Approval of electrical installation from Board of Fire ~rr~r~s.I ~ ~;' 4. Sworn statement fr~ plumber certify~g that the solderfus~n-~t~n~i~ 5. C~ercial build,g, ~dustrial building, multiple res~~L~ui and ~stallations, a certificate of Code Compliance from archite~e~ responsible for the buildi~. 6. Submit Pta~g Board Approv~ of co~leted site plan requir~emts. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings qpre-existing" laud uses: 1. Accurate survey of property showing ali property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and a consent to inspect signed by the applica, If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor i~writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Sw4~ming pool $25.00, Accessory building $25.00 Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existinK Buildin~ - $100.00 3. Copy of Certificate of Occupancy - = .~5~. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction ........... Old Or Pre-existing Building2~<~.. ............. Location of Property .... .~-..~..~. ....... ~J~..?~.. ........... .. . .- -~~~ ..... House No. Street ~let Onwer or O~ers of Property. ..~ ~ .. ~t .. 0o0, .... ....... .......... ............ Sobdivisio.. ~.~..~k~r~>. ........... .. . Filed ~p . ..... Lot. . ---- · Pe~it No.~2~ .... Da~e Of Pe~it ................ Applicant ........................ Health Dept. Approval .......................... Underwriters Approval ................... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certica~e ......... Fee Submitted: APPLICANT Cronin and Condon Consulting Engineers 175~ Sigsbee Road Matt~uck, New york 11 ~ LICENSED PROFESSIONALENGINEERS NEWYORK NEW JERSEY Phone: 516-734-72~0 Fax : 516-734-7014 June 9,1999 Southold Building Depat!.ment Main Road Southold, NewYork 11971 Re: Pessinis House 520 Oak Odve Southold, New York To whom this may concern: On June 8, 1999, I completed a general inspection of the Dining Room and garage areas at 520 Oak DHve and the following obervations were noted: 1. There is existing insulation at walls and ceiling of Dining Room as viewed from garage, from removing electdc outlet plates, and from gaps in ceiling sheetrock. 2. The opening at Dining Room wall is 9'-3~ wide and has on|y the weight of the wall above the opening as load. The area above the opening is tdagular and measures to be 13.8 square feet to the bottom of the roof rafters. Although the actual header is not visible, by viewing the roof area from the rear of the house, it is obvious that the roof rafters am naturally deflecting on both sides of this wall and the wall itself as well as the header in question is structurally sound. 3. No insulation exists at the Dining Room floor. The Owner will install bart insulations up tight to subfloor with air space below. Please call .i~direct line is 765-1798. THE NEW YORK BOARD OF FIRE UNDERWRITERS PA .i 8075413 BUREAU OF ELECTRICITY ~'~ 40 FULTON STREET, NEW YORK, NY 10038 Date t,0%Y 04,1999 Application No. onfile 18120799/99 H 064133 THIS CERTIFIES THAT only the electrical equipment as desc~bed below and introduced by the applicant named on the above application number is tn the premises of STEPHEN & DIANE PESSINIS, 520 OAK DRIVE, SOUTHOLD, NY in the following location; [] Basen~ent [] 1st FL [] 2nd FL was examined on APRXt, 28,1999 Section Black Lot and found to be in compliance with the National Electrical Code. RANGES MT, K.W, V I, C~ FIXTURES FIXTURE RECEPTACLES SWITCHES INCANDE~CEN FLUORESCENT OTHIER OUTLETS SERVICE DISCONNECT t %o. 1 s MULTI-OUTLET SYSTEMS NO, OF FEET EXHAUST FANS AMT, H,p,~ DIMMERS *~O VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in premises indicated." "No obvious unsatisfactory condition was found. STEPHEN PESS!NIS 12 HIGHATE DRI~ St4iTHTOWI~, NY, L1787 FEE PAID AMOUNT PLEASE REMIT BY CHECK OR MONEY ORDER TO THE ORDER OF THE NEW YORK BOARD OF FIRS UNDERWRITERS AS CASH SENT BY MAIL WILL SE AT RISK OF SENDER~ ii ~.:{s~_ Per 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING ~~iNAL [ ] FIREPLACE & CHIMNEY REMARK~;:~ ~ ~~- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNr)ATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ] INFLATION [,C~]."'FINAL [ ] FIREPLACE & CHIMNEY DATE ~/~/~ INSPECT~ ~'/ ~,/-~ -. , - PROV~:DET-F. CTING '~' ......... UHDI~R_WRITERS CEmlFICATE ALARM DEVICE_S_ ........ PRO¥1DE OI'ENINGSt~OR- - 7~.d-~- :-~ ~-~-r~:~;-~~'ll~l~ .............................. R£QU~E~ ~ TO PART, 721.I, · . ri,AL :"C~"s~O, ~U~T ~ ] ..... / ! ........ ,'-g .... ~~F~C.O,- ......... ~- ~ .............. :r. ~ ...... ~----~ '~ , - ...... ALL ~NSTRU~ION SHALL MEET ~ { ~ C ~/[ ~ CODES. NOT RESPONSIBLE FOR ~ -- ~ / t ~ { ~ Y ~,~ ........................... _~ ............................. ~v ~ .................... ._._~__, .......... ................................................ : ......................... 2~_._.~ ........ WiTHOUT-CERTIFICATE -- OFOr'., ..UPANCY t.~,Ap- ,OF' s.69 4a 40 [. 165.0 P~4OP~l~l Y EUF4VEYED F'G I'Z i4!CHAEL P. F'it?S;T AT BAYVI F_.~/ TOk,~/I"4 OF SOUTHOLD ~k.r>f, 5UFE C~. CLEI21/.,'5 OFFICE: AE- t,4&P IW.':"~,l .. ~.SUFF. CO, TA~ I',4AP DATA: lOOO-,~O-P_-IB; GUAr~ANTEE. D TO AI'4EI'~ICANt Ti'T'LE IHSUf?..A,NC..~ CO, ~ODE[?.ICIC VA[~4 TU'¥'L,~,_C_. UC. LANP ~'U~VEYOf~'~- GF~EEHPOF-cT, N,"~. ,.'LD INSPECTION REPORT DATE CI~,fENTS INDATION(IS'T) 3NDATION ( 2ND ) t # STA~ E~R~ ~. CODE ADDITIONAL CO]~,iENTS: FORI4NO. TOWN OF SOUTHOLU BUILDING DEPARTHENT TOI~I HALL SOUTHOLD, N.Y. 11971 TEL: 765-1802 nOAeO O~ ez.~re ../~ .......... 3 S~TS O~.pr~U~S .':.. ...... SURVEY ..~.... ................. c~c~ . ~. 7~ ~. .............. SE~IC FO~ .................. ~IL TO~ ................. APPLICATION FOR BUILDING PER~IT INSTRUCTIONS a. lhis at~licatioa ~nst he completely filled in ~ ~iter or in i~ ~ ~itc~ to ~ ~ildi~ 3 ~ts of pl~, ~ plot pl~ m ~le. F~ ~i~ to ~le. b. ~ot plm ~ l~ti~ of lot ~ of hildi~ ~ ~s, mlati~ip to ~joi~i~ p~s or ~lic st~ts or ~, ~ gid~ a ~il~ ~i~i~ of l~t of ~ ~c ~ ~ ~ ~ di~m ~i~ is ~rt ais ~liaci~. c. ~ ~ ~ ~ ~is ~lia~i~ ~ m~ ~ ~ ~fo~ isa of ~ildi~ ~t. d. ~ dwell of ~is a~lia~i~, ~ ~ildi~ I~c~or ~11 is~ a ~il~i~ ~t to the ~li~t. ~t ~1 ~ ~ ~ ~ p~s ~il~le ~r i~ti~ ~$t ~ ~. e. ~ ~ildi~ ~1 ~ ~i~ ~ ~ in ~le ~ in ~ for ~ ~ ~t~r ~til a ~niii~te of ~ ~11 ~ ~ ~ted ~ ~ ~ildi~ ~ ~ ~ ~ m ~ ~ildi~ ~t ~r ~ i~ of a ~ildi~ ~t ~t to ~ldi~ ~ ~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r ~li~le ~, ~i~s or ~ati~, fg ~ rotation of ~ildi~, fli~i~ a altemti~, or for t~ or ~liti~, ~ ~in ~lati~, ~ to ~it ~ri~ i~t~ ~ ~ ~ in ~il~ for ~s~ in~ti~s. .... ................ [~}(Si~tme of ~llmr, or m, if a State ~hether applicant is owr~r, lessee, agen£, architect, engineer, general contractor, electrician, pltmber or b~i ~ o~ ~ o~ ~ ...~,,:~.:~.~: .......... n .... ...... ~. ............................ (as c~ the tax roll or latent deed) If applicant is a corporation, siguatm-e of duly authorized officer. and title of eOrlxn-ate officer) Plumbers Liamse lio ............ -----?. ........./.... Electricians Lic~uan No ..... X ..... /..... Other Trade's License No .............. ~...... Locatian of land on ~hich l~Xa~osed ~otk ~rill be done ................................ .......... .............................................. .................... Hanse Nua~er Street fl~nlet Coent~ Taxlt~p NO. I000 Section ...... ~. ...... Block ...~. .......... Lot ..l~. ........... b. ~t~ ~ ~ ~ ............................................ ~ ............................... Repair ........ I ............. Demolition ......................................................... . .~./.~...t~....-~.. (Description), 4. Estimated Cost ........... fee .............................................. (to be paid on filing this application) 5. If d~elling, r~nber of d~elling onits ............ t~h~ber of d~elllng onits on each floor ................ If garage, nmber of cars ...................................... 6. If besiness, ccnmercial or mized occupancy, specify ns~ure and extent of each type of use ...................... 7. Dimensions of existing struc~res, if any: Front ................ Rear ............... Depth ................. Height ......................... limber of Stories ...................... Dimensions of sam str~ture '~th alterations or additions: Front ............... Rear ............... Depth .................... Height .................... limber of Stories ............... 8. Dimensions of entire nc~ c~x~straction: Front ................ Rear ............... Depth .............. tleight ............................................. limber of Stories . 9. Size of lot: Front .................... Rear .................... Hepth .................... ! 1. Zone or use district in ~hlch pr~miees are situated .............................................................. 12. Hees proposed construction violate any zoning lin, ordinance or regulation: ........................ 13. Will lot be regrnded ...~i~ ............. l~ill ms~ fill be remcr,~d [-rcm premises: YES NO Na~ of Architect .................................... Address .............................. ~ No ........... N~ue of Co~tractor ................................... Address ............................... Phone No ........... 15. Is this property ~aithiu 300 feet of a tidal ~etland? * ~ .......... NO ...~. ..... PLOT DIAGRAI~ I~cate clearly and distinctly all Imildings, ,ahether existing or proposed, and indicate all set-back dimensions property lines. Give street and block r,~her or d~ecription according to deed, and sho~ street ms and indicate ~hether interior or corner lot. ~FATE OF ~i~ YiIqK, ......................... ing (~ of i~ivi~ si~ing ~tracO 9~ is O,e ...~0.~.~ ................................................................................. (~traeter, ~nt, co~rate officer, eec.) o[ ~id ~r or ~rs, ~ is ~I~y ~tmri~ to ~rfom or ~ ~r[~ ~ ~id ~ ~ to ~ ~ file this a~llcati~g ~t all stat~n~s conta[~ in ~is a~llca~i~ a~ t~ to ~e ~st of his ~1~ ~ ~liefl ~ .9~om Lo before me this ,/7 NOTARY PUBLIC, State of New Yom No. 01ST6008173 Suffolk County Term ExD res June 8.20c~ (Signature of Applicant)