HomeMy WebLinkAbout25525-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26965 Date: 03/07/00
THIS CERTIFIES that the building ADDITION & ALTERATION
Location of Property: 200 AKA 65 WILMARTH AVE. GREENPORT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 41 Block 1 Lot 26
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 13, 1999 pursuant to which
Building Permit No. 25525-Z dated FEBRUARY 8, 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 GARAGE ADDITION & RENOVATIONS TO AN EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to CLAUDE L KUMJIAN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. N-514354 02/01/00
PLUMBERS CERTIFICATION DATED 03/06/00 VANETTEN PLUMBING & HEAT.
//
Aut rized sicKiature
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. 25525 Z Date FEBRUARY 8, 1999
Permission is hereby granted to:
CLAUDE L KUMJIAN
65 WILMARTH AVE
GREENPORT,NY 11944
for
CONSTRUCTION OF A ONE CAR GARAGE ADDITION AND RENOVATIONS FOR AN
EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 200 WILMARTH AVE GREENPORT
County Tax Map No. 473889 Section 041 Block 0001 Lot No. 026
pursuant to application dated JANUARY 13 1999 and approved by the
Building Inspector.
Fee $ 75.00
6PU�4- J
Authorized Signature
ORIGINAL
Rev. 2/19/98
luwiN Ui' JUULnVLlI
BUILDING DEPARTMENT
TOWN HALL
765-1802 „
APPLICATION FOR CERTIFICATE OF OCCUPANC
A. This application must be filled in by typewriter OR ink and s I m'itthd ''ttrdihL00%iIdini
inspector with the following: for new building or new use: ` w
1 . Final survey of property with accurate location of all b iIdfngs,�'property,4 nest
streets, and unusual natural or topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 foim)�
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 17 lead.
5. Commercial building, industrial building, multiple residences and similar buildi
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 a
"pre-existing" land uses:
I . 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 applican
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 Nu.ilding $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 - .25v.
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date . . . 2, 2000
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New Construction. .Mar19e. _ . Old Or Pre-existing Building. retovati_= to, existing
Location of Property. . . . . . (L. . . wilmarth ave . . . , Greenport. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
House No. Street Hamlet
Claude L. Kum ian
Onwer or Owners of Property. . . . . . . . .3.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . 41 . . . . . . . .Block. . . 1. . . . . . . .. . . .Lot. . . . 26. . . . . . . . . . . .
Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . .
255252 02/08/99 , , , , , ,A licant. . C1aUde.L. .Kum'ian. . . . . •
Permit No. . . . . . . . . . . . . . . .Date Of Permit. . . . . . . . . . pp 3
Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. ?1?71OO, (9n,fi1e) . . .
Planning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . .XX . . .
Fee Submitted: $. 25;00 , , , , , , , , , , , , , , , , , , , , , r
APPLICANT
0457.5
00 aW&5
gOW4,e�
=S 1111op
rNAR _ 6 M0 F014(516)765-1823
TTown Hall,53095 Main Road f�one (516) 765-1802
P. O. Rox 1179
SouthoW, Now Yodc 11971Ji�J'th:Q$D .,.,..e
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N n
DATE: M W' ck G 1 00
Building Permit No .
Owner: c �ta e
(please print)
N-eJ inn
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plumbers signature)
sworn to before me this
)f Zoo o
day of 0.YCIn t-9—
Notary Public, (�C. County
MELANIE DOR03KI
NOTARY PL18UC,State(If NY
01004W87()-SW(fk County
Qw*akm E)q*ec 9P30IM
� SS »i., -
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
1195100 BUREAU OF ELECTRI81TY'-;
40 FULTON STREET, NEW YORK,'N1°10098
Date FEBRUARY 01,2000 Application No. on file �t#3742699/P19 N 514354
THIS CERTIFIES THAT _
only the electrical equipment as described below and introduced by the applicant Firmed on the above applicatiba,number is in the premises of
CLAUDE KUMJIANI, 65 WILMARTH AVENUE, GREENPORT, NY
in the following location; ❑ Basement ® lst Fi. ❑ 2nd Fl. GAMUT Section Block Lot
was examined on JANUARY 27,2000 and found to be in compliance with the National Electrical Oode.-
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT I K.W. I AMT, K. AMT. KW AMT K.W. AMT. H.P.
19 15 10 19 1 13.0 1 1.2 1 F
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTI. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTE
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS, TRANS. AMT. I H.P. NO.OFMS FEET AMT. WATTS
5 600
SERVICE DISCOECT No.of S E R ,V I" '' C E
NN
METER NO.OF CC COND. AWG A W.G. A W.G
AMT. AMP. TYPE EQUIP. I 0 2W 1 0 5W 5 0 3W 3 0 4W pfR 0 OF C0.COND; ' -NO 9F HI-IEG.., OF HI-LEG NO OF NEViRALS OF NEUTRAL
1 200 1 CB 1 X 1 2/0 1 2/0
OTHER APPARATUS: '
G.F.C.1:-6
SEATUCKIKELLEY LIC.#3631 O Eti _ L L
PO BOX 335 LAURA CT.
SPEONK, NY, 11972-0335 GENE RAL MANAGER
Per
This certificate must not be altered In any manner; return to the office of the Board If Incorrect,Inspectors may be identified by their credentials.
COPY FOR BUILDING DEP ,1',NUI BE ALTERED IN ANY MANNER
o��gpFFO�,�co
Town Hall,53095 Main Road co Fax(516)765-1823
P.O. Box 1179 W Telephone(516)765-1802
Southold,New York 11971-0959 G
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
February 28, 2000
Claude Kumjian
65 Wilmarth Avenue
Greenport, NY 11944
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
ecause of the following reasons :
�1 '1� XX An application for Certificate of Occupancy is
13'Gi not on file. (Enclosed)
No Underwriters Certificate on file.
c XX The check is (not on file. ) $25.00
No Health Department Approval on file.
No final inspection has been made.
XX No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 25525-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ /ROUGH PLBG.
[ ] F NDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: Axle-o �✓�-' 2 _
DATE 7 �d��S9 INSPECTOR _�G
76S-1802
BUILDING DEPT.
4SPECTION
//] FOUNDATION
DATION IST [ ] ROUGH PLBG.
2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
DATE 7 INSPECTOR
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] RO PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE A CulMNEY
REMARKS:
DATE ! IffINSPECTOR dY' �<
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN LATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: 41,
O�
DATE v2a* ad INSPECTOR
FIELD INSPECTION REPORT DATE C,0M BENTS
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ADDITIONAL COMMENTS:
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--------------
0 V BOARD OF HEALTH
� )
POEM N0. I OESPTIC
ETS OF PLANS .. .. . . . ... ......
.JAN 1 3 1999 TOWN OF SOUTHOLD VEY
BUILDING DEPARTMENT Cit ••••••
f TOWN HAIL FORM ... .... .. .... ......
Bt DG DE`PT�
c TOWN OFSOUTHOLD SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY: \
CALL .l S
00 v�
CM
* ' LS
Examined...Z. ........, 19.CM MAIL TO: ..... . .. .. . . . . .. . . . .
Approved...... ...... 19R9. Permit No.
Disapproved a/c .................................. ...................................
?PLICATION
ildi% Inspector)
FOR BUILDING PERMIT
Date. .. .. ..... .�. . .
INSTRUCTIONS
a. 'this application most be completely filled in by typewriter or in ink and submitted to the Building Inspector wi
3 sets of plans, accurate plot plan to scale. Fee according to schedule' to '
b. Plot plan showing location of lot and of buildings on promises, relationship p' adjoining Premises or which i public
of
streets or areas, and giving a detailed description of layout of property mast be drawn on the diagram 1�
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. Such
permit stroll be.kept an the premises availablefor inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose wivatever until a Certificate of
Occupancy shall have been granted by the Building Inspector.
APPLICAnCN IS uum MADE to the Building Department for the issuance of a Building Permit pursuaat to the
Building 7ncoe Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinanees'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 on premises and in building for necessary inspections.
(Signature of applicant, or name, if a corporation)
5W ILWiACIII CNL-t JO ff�t K(q
......................................
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
AA A-Ij
Name of owner of premises ..... .........
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
................ ?1 ...............................
(Name and title of corporate officer)
Builders License No. ..I �...I.!.........
3004 ^ P
Plumbers License No. .........................
Electricians License tb.!�!�. 4.�� e' "`,NSc Q e W%Lt A-4-JskC
Other Trade's License No. ..... )11...........
I. Location of land cc which proposed w�o
rk will be dam...... ...................................................
200 (� c ��, Yy.ILM�CI?1...!!�� ..... ( ee �JJr.f .............................
House tomer f Street
Hamlet
Canty Tic Map No. 1000 Section .......�.I...... Block ......!......... Lot ...a:(0........
Subdivision 4.S. ...................... Filed Map.No. ...i.l i}....... Int ....i��.......
(Nama)
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy .........r( Siti......Q i?..... ..... �..C�..........05
b. intended use and occupancy' k;%! ..........................o . (�.. G t.........Y� to�
....
r
i. Nature of work (check which applicable)r New building .......... Addition .... ... Alterati 'i�
Repair ............ Removal ........ . Demolition ............ Other Work ... .......4..............
(Descript'Gnl`Ni 4 ',51.1
i. Estimated Coat
P,-3 D, o0.0 - 0i>' ... fee i.hCE :.................................
ng. ng (to be paid on filing this application)((
5. if dwells number of dwells units ..�Np .'.. amber of dwelling units on each floor ....�J1 ........
Ifgarage, number of cars ......... 0.E+•......................•
6. IE business commercial c Tsny, specify al or mixed onat��urre--�rIand extent of each type of use.....�J A
1 (0
7. Dimensions of existing
structures'lif arty: Front...... ....... Rear ...�....... Depth .........I.........
m
height ....�?�. ro.l �:<.... bomber of Stories ... ^)C ............
Dimensions of sane structure with altera5lons or additions: Front ....... Rear ...............
Depth .....?,(4 Height ...INumber of Stories ..47.Adc....... 3(.L!
8. Dimensions of entire new construct ion* Front ....t�(........ Rear ...�y......... Depth 31G F�
Heiht .........N. G....... Number of Stories ...O..N..G......... ... �A r pie r+ckcCcf,�a
f.A...... Iat D
9. Size of lot: Frlxmt ...:! � i...... Rear ....�!.�.�.... ...... Depth .....
lo. Date of Placmase ..t{ LIJ.� 2 Nane of Former Owner ..l..M.� Y.0............................
..
11. Zone or use district in which premises are situated .....U-$...�.: )�..........................,, •••............
12. Does proposed construction violate any zoning law, ordinance or regulation: ....Pi.I?..............
13. Will lot be regraded ..... ........ Will excess fi 1 be removed from premises-. (f,,,,� YES NJ
14. Names of Owner of premises L.kKJL� - L • �CL.�w�7 :Address t? .WILMmi!.f7�. ,y,l;; ,, Phone �7: C0
Name of Architect �.r :g..T
;u;m Jr.&, 5T ..... Address .�! } � r.+,) Phmme No. 3 -- 052-1.
Name of Contractor . IN1l+C J> Address .Y.V� � ! `@ .... ....Pl:ooe No. .17�2
15. Is this property within 300 feet Iof a tidal wetland? * YES .......... NO ....Y....
*IF YES, SODTM TOWN TRDB116S PEMU Ma bE Mnam•
PLOT DIAGRAli 1
Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions
from property lines. Give street and Block number or description according to deed, and show street names and�indkate
whether interior or corner lot. I L J>)
I
(WC MA,a+4-'� P�s�
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a
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.iLJ,4F f O'rJ1 I `
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SWE OC N W YM, P
O=fy or ...�U�F-0 j ..... SS
..............being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract) i,
above named,
lie is the W 41 Uo i.........
(Contractor, agent, �Ogvrate officer, etc.)
of said Owner or owners, and is duly authorized to perform or have perEnrmed the said work and to make and file this
application; that all statements contained in this application are true to the beat of his knowledge and b6lief, and
that the work will be performed in [file manner set forth in the application filed therewith.
.Sworn to before we this
.....Mve.tQ....... ..... .19..M.
Notm)PXMbA li
Notary Public,State of New York ................
No. 01GAA4ti 513 (Signature 0. Applicant)
ClueIRW In SuNk Cdunty 9
Commiesion Expires August 31,OIOdO
MAS 15 ON
ST.
I c=,
WILMARTH AVENIUE
I
345.85 TO.50OT H RACE
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LICENSER LAND 5.;Z� _�aS
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REQUIRED
y _ / - ('0P4 Iw7UL IN DATE' 9D.s p.MIFFED 5 '14"=)'-""h -�-\-- OCCUPARTOR
2 od°�LLr - ;� y.�r-- p1£I11 f�oF > XIFh178[J J . Q,t. USE IS UNLAWFUL
-- -- - - 1 - R �' 1VluQ°y�l NOTIFY BUILDING DDDEARrMENT AT WITHOUT CERTIFICATE
— II2n FOLLOV 2 S AM EC 4 S: FOR THE C OF OCCUPANCY
FOLLOWPI(91NSPECTIONS: LAG
1 FOUNDATION - TWO REWIMED �.
9.`X(o"C,b1WN(q -10Ih 3 ~— t a'xtgr� MaToH FOR POURED CONCRETE
-----.� -- II 2. ROUGH - FRAMING R PIINiNO ku. •(7 OE Rj--I-ADVEo
12 OVEl2E1Afl(� NIV0,X4%INSULARON
`J°FF'1'I 4. FINAL _ CONSTRUCTION MUST ESCI�j�'IN(� NI(LL -(pe
Lo' Mo* - NEIv I�INItJ(. yoom BE COMPLETE FOR CAL
ALL CONSTRUCTION SHALL MEET N�hl pA'R-"f1TIpN DE'_ WALL
NEN 0 �z 2.•Ib {uyUL IN + THE REQUIREMENTS OF THE N.Y.
i --/L KIU F'7 i&'67G $Vkl NCit.E7> 1-p I.;AM-11 a�tTy�TT,��. CONSTRUCTION RESPONSIBLE NOT FOR
6"2-14 INSUL. JiIZ`�-'3 +NhuLj DDESIGN OR CONSTRUCTION ERRORS
4"" .ten too, 17r � _
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ENERGY COLIC CALCULATIONS
(Eur Non-Glee Lric heat) Design Cri Lelia (1400 Degree ""I"
(/ O.A. 10'F i.A- 70'F
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/I DESIGN '1'IICRMCL REMARKS
SUBSYSTEM ARCA "U" RA'T'ING
x Leriur walla (Opaque)
3S6 , p77 + Zb __f1
A N S2F �' rl/ �lMtIIV
lazing // 8 t/ U , � 2 _ �' J• ey,�c/
oars / Z , VU _ U
ell.iuy/Ruor (Opaque) 33 9, D �
kyligh Ls IiP 8 / Z
'loor
oundULlon Walls
;lab Insulation
TO'T'AL �
Io Les:
wilding Envelope Sys Lems to meet requiremen Ls of 7015. 2
IVAC Gquipement to meet requiremen Ls of 7815, 11
IVAC Systems to meet requirements of 7015 .T2
JucL Systems to meek requiremen Ls of 7015 . 13
JenLiliLious Systems to meet requirements of 7015. 14
Lnsula Liou Of Piping Systems to meeL requir.emculs of. 7015 . 15
Service Water Ilea Ling Systems d Equipment to nlee L- requirements of '7015 . 7.1
Elec Lricil 6 Lighting Sys Le"Is 6 Equipment to meeL requirements o2 7U15. 31
To the best of my knowledge,
belief, & professional
i a _
judgement, these plans are i.n
compliance wi Lh Elie code.
."
. .pOFESSIO::'^