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)