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HomeMy WebLinkAbout25105-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26527 Date: 06/18/99 THIS CERTIFIES that the building ADDITION Location of Property: 650 KNOLLWOOD LA MATTITUCK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 1 Lot 16 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 25, 1998 pursuant to which Building Permit No. 25105-Z dated AUGUST 13, 1998 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 RALPH NOFI (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-491150 06/11/99 PLUMBERS CERTIFICATION DATED 05/25/99 PETER VICTORIA ildi g ins ector 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. 25105 Z Date AUGUST 13 98 Permission is hereby granted to: RALPH NOFI PO BOX 1059 MATTITUCK,NY 11952 for AN ADDITION AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 650 KNOLLWOOD LA MATTITUCK County Tax Map No. 473889 Section 107 Block 0001 Lot No. 016 pursuant to application dated JUNE 25 98 and approved by the Building Inspector. Fee $ 75 . 00 Z Build' g InspecZor ORIGINAL Rev. 2/19/98 !IJ� LULLL LL.V IIHLtlALtLGLVl TOWN HALL JUI`, i 4 i�r`)� 765-1802 i • - ^APL ATION FOR CERTIFICATE OF OCCUPANCY A. This application must a lled in by typewriter OR ink and submitted to the buildin 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 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: 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 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 building $25.00, Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building: - $100.00 3. Copy of Certificate of Occupancy - .25e. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . une, 24,1999 New Construction. . . . . . . . . . . Old Or Pre-existing Building. . .X. . . . .. . . . . . . . Location of Property. . .650.RnQ11Ws qd.L ie. . . . . .... . . . . . . . . . . . . . . . . .Mi tt tuCls. . . . . . . . . House No. Street Hamlet Onwer or Owners of Property.. .$41P)1 .114fi.. . . . . . . . . . .. . .. ... . . . . . . . . . . . . . . .. . . . . . . . ... . . . County Tax Map No 1000, Section. . .107. . . . . . . .Block. . . .L . . . . . . . . . . .Lot.16. . . . . . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . .Filed Map. . . . . . . ... . . .Lot. . . . . . . . . . . . . . . . . . Permit No. . .25.1.05. Z. . . . .Date Of Permit. 8.,(W98. . . . . . .Applicant.LRd]-PJI .NQf�. . . . . . . . . . . . . Health Dept. Approval. . . . . . . .. . . . . . . . . . . . . . . . . .Underwriters Approval. . i! . . . . . . . . . . . . . . . . . Planning Board Approval... . . ... . ... . . .. . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . . . . . . Fee Submitted: . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . APPLICANT THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1135107 BUREAU OF ELECTRICITY F 40 FULTON STREET, NEW YORK, NY 10038 Date JUNE 11,1999 Application No. on file 16911298/98 N 491150 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of RALPH NOFI, 650 KNOLLWOOD LANE, MATTITUCK, NY in the following location; ® Basement ® lst Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on JUNE 07 11999 and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. I K.W. AMTK.W. AMT. H.P. 5 11 14 5 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WAITS SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC GOND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. I 0 2W 1 0 3W 3 O 3W 3 0 4W PER 0 OF CC.CON,. NO.OF HI-LEG OF HI-LEG NO,OF NEUTRALS OF NEUTRAL 1 150 CE 1 X 1 1 1 2 OTHER APPARATUS: PADDLE FANS-2 G.F.C.I:-1 SMOKE DETECTOR:• 2 JA41ES HURRAY LIC.#3653 .. 1. 2., P.O.BOX 305 LAUREL, NY, 11948 GENERAL MANAGER 11E 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 DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ! 71999 i Town Hall, 53095 Main Road .� _ �� Fax (516) 765-1823 P. O. Box 1179 -� Telephone (5 16) 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: May 25 , 1999 Building Permit No . 251057 Owner: Ralph Nofi ( please print) Plumber: Peter Victoria ( 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 104tu' day of Y�CoP� 19Q5� Notar Public , �� �� County ROBERT 4.SCOTT,JR. NOTARY PUBLIC,State of N.Y. No.4725089, Suffolk Court Term Expires May 31, 190 "'77, np 71999 S r T ASSOCIATES 11 HALTER LANE LEVITTOWN N.Y. 11756 Phone 516-731-5506 - Fax 516-731-5623 May 25, 1999 Dear Mr.Verity, Reference:Building permit No. 25105z JAddition to rosidence6 For Mr.Ralph Nofi of 650 Knollwood Lane,Mattituck,N.Y. This letter as requested, is to verify that all revisions incorporated during construction of subject addition meet the requirements of the New York State Building and Energy M Conservation Codes. 217.E �y. OF N.�Qi M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY EMARKS: DATE a INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] F CJNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: r7C DATES INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ FOUNDATION IST [ ] ROUGH PLBG- [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE 91M9� INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ tai' R GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ►/'FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY oe REMARKS: DATE /� � �� INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ZIR H PLBG. FOUNDATION 2ND [ LATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & C,HIMNEY/f REMARKS: DATE �� INSPECTOR AA,(AA ;7 765.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING ( ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: . - � >Z12� t®vuT-•re DATE INSPECTOR 9 - � . •� itu Ygtr � d r Q:ii{- eSYJ V Qr 10 qq� 1 .-®600,0 to, rt.ted ii'J�. J td4?'�1 t'Yt';, '(.7 JC�:UY. `4i. C•a aJ�i.^ x Scale: 4" = :" L. � t5ffia La ,^ SurJ�c�ar5 Conc. 4rSvnu,ncz• t r t I� BOARD OF UCALTN . . . . . . . . . : . . . . . FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . . TOWN OF SOUTIIOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . BUILDING DFLIAW114ENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . I TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . . SOln'DOLD, N.Y. 1197//1 TEE.: 76 02 �VI NY CALL1949 . � :.S� U. . . MAIL. TO: . . . . . . . . . . Apprtry-d t/.. ..., 19,1443 fennit No. 1q,a, .......I............................ Disapproveda/c .................................. .................................... ................. . .................................. line LJUN2 5 IN APPLICATION FOR BUILDING PERMIT ) DE,IF T INSTRUCTIONS a. this application mist be conpletely filled in by typewriter or in ink and submitted to Eire Building Tnspector wi 3 sets of plans, accurate plot plan to scale. Fee according to schedule. h.. Plot plan allowing location 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 must be drawn on tine diagram cbnich in port of Ellis epplicationh. a. 'Bre work covered by this application may not be ctrmenced before issuance of Building Penult. d. Upon approval of this application, tine Building Inspector wilf issue a Building Permit to the applicant. Sucln permit shall be.kept on the premises available for inspection throughout the work. e. No building shell be occupied or used in wilole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPIAMICN IS }HEREBY MALL to tine Building Department for tike 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. 'Nue applicant agrees to comply with all applicable laws, ordinances, building code, housing code, sncl regulations,iand to admit authorized inspectors or premises and for necess&q inspections. ... .. ....................... (Sig ore a' E ap{rlicsnt r name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, pluiber or luildei Gov tl .................................................................................................... Name of canner of premises ... ��r1' ../•.V. �4N.............................................................. (as or tine tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nano and title of corporate officer) Builders LicenseNo. . I// 195 y7 ?/ , /I�/ �� /� Plurduere License No. !_l.�t.-: ....��E f 7-/Z1;19 ALceA4,6"/L4 V�� �C7ar2�yj� Electricians License tb:-T142n5...•••'•••4k•• y` Other Trade's License No. .................... I. location of land on which proposed work will be done........................�.,.................................,...... Sof�i .............. ''U/!s�? r�... ...............'..... ... . .!Q. . c� .•.•house Number Street .-y Hamlet County Tax Map No. 1000 Section ! ...... Block .....1......... Lot ....1.1or ....... Subdivision ...................................... Filed Map No. 74 �J... Lot ............... (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .......JC//// S./.Z?s N�€ .................................................. b. Intended use and occupancy .......1�: `,�./.-.�-?.>�-i!J C.�r.................................................. *WtreatA � Q.atRr gtrntw aR m"1d410 I. tiktkue of work (dueck ldiidl a licable)t New Iluilding .....:..... Add Itioil •Y.,..... Alteration .......•.. Re air Removal .' .......... I)emnlItIon �y (Description) 4. [Estimated Cost ...•%O QUA. ......... fee ............................. ....•.......... f (to be lurid on filing tills application) 5. If cA+elihlg, uadxar of dwe11b18 units Umber of dwelIIng units on eacil floor e�1$0,, ,,, if garage, limber of care .... .•.�.:.E14{ h, If Ixcsloess, comnercdal or mlxelf occupancy, specify naturo and extent of each type of use...................... 1 Ida LL ....... 7;•••� Sea, IE any: Fr<mc...�4.!,1,,,,,,, gear ..:.. ..r?Q'�.'al.• Depth ....,..'„�7:'r4.. gl �. Umber of Stories ....•.�......•........ . ). Uhrenxlala of existing stnkctu� Diniansials of sure structure w e r with alterations or additions: Front ... Ile Depth gilt .......)7.......... Mnber of Stories ......... uct•lon• Front 95... Rear fl. D6i afaa of entre new axxuet{ _.....•k� ..• De'p`th �......... i I� � yry� Ilaf It �9:.�........1. Muluer of Stories t t 9. ../ ......... Rear .....( �.......... Deptic ..� � ... • Io. Date of Hu lase c lam. r CF!?2/,.. .�.. �.3 :Iti •.!'!!Q"� ,� Nr+rc. of loser (liner !�'}k.... ... _•-^.-�^... .•.:.t..•.. ll. Zona or use district in uhidl premises are situated ...................................,.//O......................... proposed tion v )tate any zoning law, ordinance or regulation: ..•...•/?.............• If. Floes IL lot Ile regraded Y-P...•..... Will excess fill be removed from premises,:/ Np M. Nares of ()wrier of premises 5.>VP!f• ........ AcklressRa'A. 'nl4�`�.M ��74GCNane No.o�$? .�5/5 • Nance of Ardlitect .SiC'}'l c�q�.��rq°atA:TE� ..... Address r�.f{AL..' `-1 ,�agr`tE;..,�. btt'r woe No. Nrrre of Contractor ........F��.�'l•:LN• ....•... Address&•7R AOS V••�(1 /stii9{�/� {r...Ignne M. 15. 1s this property within 300 f t.of a tidal wetland? * YF-9 .4........ R) ...t!..... *IP YRS, SM11KID IMN 1RnSr= PRMIT MAY 138 M,,IRM. PLOT nIAGRAM - Incate clearly and distinctly All buildings, whetter existing or proposed, and indicate all set-beck dimensions from: property lines. Give street alit block nnber or description according to deed, and allow street nares and irxlicate ldcetlaer interior or corner lot• i pdk i V9• 23 p II � Ul STAIR 0P MEW Y _� SS /' -J00b .�AW6 MINN (W /y `� ^ .....................being duly awaarn, de[xuses ocxl says that he ie the appi.jenit. (Nmc of individual signing contract) alxave :orad, Ile in the ...... ......U..M::.0-X. �/^............... ..... ...... ................•........................... (CooLractor, ngent,-'corpaarate off leer, etc.) of said caber or owners, and is (kdy 'authorized to perform or have lxarformed the salad work alxl to nuke ocxl file this 01ry11 icnlioo; tial kill statements clxlLptned .ill this 1114Alc:at1011 are tux: to (he best of his knowledge acd lxilief; nixi that the work will Ile performed Ili `Lbe natmter set Forth in the application filed therewith. ,)worn tU:rJ .dtiy9>f� ..�J.4L..�..19..S.�J', Notary I bi _.l ��. • ' .•• . •••• ••• (Sigc Cure of Applicant) Mo1W 4 VW1 Can Mwel” AP ED AS NOTED _ - --- - - - - -- - -- -- - --- -- - --- - - -- ------ -`__- - _ DAT{; g 48 S.F.M OCCUPANC`f OR NOM" NUILDINO DEPAWEAT USE IS UNLAWFUL 7{FT{CR O AM TO • Nor wmw distributing wanpbll{{d pOUNMrwN - Two REOUIRED N0TCS 4, SPECS, CC-NTIh_aL _L�_ PLUMBER CERTIFICATION {ytt�m;p KorLonly WITHOUT CERTIFICATE y PLUM, BING 17• E„�TNK0aN, rIXT t, LE> sr1AL.L. 5c �� Apt,`•r • �� EziI_2AL.COLc>rz SE ecreD by ournlet . ON LEAD CONTENT BEFORE aRINIRI twa .4�.�hC QF OCCUPANCY a w.IR.1NbIF CERT/F/GATE OF OCCUPANCY DNDERwR11ERSCERTIFlCATE 4. FINAL • CONSTRUCTION MUST Ig• E5/til'�.\C�OOr^I SHo',n.lE�. 51-4At_L. SC Ccnn.pL.F"('EL'C 'r'1 L-eVj �t'_CP Vl lh'Mich. WALLS SOLDER USED /N WATER REQUIRED BE COMPLETE FOR C.O. sHtTw fle TIC�'[7 To 4FT, AL5ovE-_ c='t�.TILL Cc,Le.(:.SfS==rCJ k. r3 prca.:�.tE R.. ALL CONSTRUCTION SHALL MEET SUPPLY SYSTEM CANNOT THE REQUIREMENTS OF THE N.Y. UNDERWRITERSCERTINCATE 19 ALL A.'^ Gfdtf_!r4cit> _KHAT 1 E= FIN.LSNEG wcrI J zYF'a!`M wau- ''�' t" EXCEED 2110 o/ 1% LEAD. STATE CONSTRUCTION { ENERGY REQUIRED fVl_l, „lolµ'1's 'i"o Fc-_ TA�-cc, S{�aAc__Lr1? - f c 1• �a . CODE{. NOT RESPONSIBLE FOR 14 - t C3 _ - _ MON OR CONSTRUCTION ERRORS 20, i IE V� E'SD:T"e>F�IbI�' A!�IMR�^C DG`C-!E'= -%HADA. FE: STL,E I,,.� INSu4YTED-t F'I,LL.Y yJ6ATNPF'wD. •' , - -7D6 - - ��_�-- -�z-4� =� �. F I „ Lly CNTLIZ.C� EXTERlU2 OF I-Ifx_'.*E cSTo B� 2CSIG;:S. WITHVINYL SIDIN4, ALL PWMBIN(i �•_�, C.»C�•� OG 1^C.J� ys\� NOWASM T Q.LE.`:: C-XTCL_IO(- STGINI, SFihU- S5rE F•(NI.SF✓-E:b wl H VItiIYL Gr.L4T G""D'7 /�L�JMII\1UN�• SLL BYNESNEED Q.tt1!-EVPL = . • 8�� '� � �,1 c� ,STfI t4- cc,�csz nF' I,\cq Tt, BC. �,E'LCC'rrC"i BYowuriZ . TESTING BEFORE COVERINCt _ - - - "i,;.� - 2't'. �' 1NG� IN RL-� C.r E'L ADD EO r'1f:.0-a4•� K,1{r' mA.TC.11 F'IiSS ;IV!a TYP54,FINISH /' C_xT 5r1E`.d'<TJhli rS-`,-.I- IY'1:. '• ' ty - - '�li -IDIr_E1�^I'� Pih1> ' ' � ' . �'. p_L WAU_S $. rr -It It g.Gcor- DISTL'k,BFG BY �cn�STTLL'c'-1'It'�\t ZA �<''-T.G>�vC`r Pit. I�:• '..T. r.�-, (=X'r-C r_l^b F-'t l lc: !F_°I'r�. +;�� ASwtAcf SPaINGLES- TYP I �' o 6-4•�_ _-._ a'- m 112 i.r-. j 2�. NSTF�+L_L ESEW f CL.pIP)•'� STAIQV,IAY TLS A'eTVC 5T%.A.'.0 A5�44ctt1(J+ 22 � __ _ . ' �I� - I 3-_ +rD �I � 4-�- - L-- x w•-dc .,_ QLuet��uTt�tt-l`fY�• I I , i 1 •l-� I/2CTiP5UM WALLEtd'i.C'!r �4��_Lx4 GATE-PY_f� r -4 I PROINDEOPENIRDSFOR - EMERGENCY ESCAPE AS F( I �� oTlck'aj TVR -Z_ (h„� NEQUIRED OY PART1A OF VIhIYL S1DlNG O CR � N ,-- I N.Y.STATE BUILDING CDDE.N� At'gLIozEt�Tti tP MA'PCH�.IcSSr_cY f�R ""roC_ _ 1I, Y2'Pcz Anct+a�'tio�.•F TYF f ,'.i' 'I'fIIti 11,f'utP - _ ' 'X9f' '� lJ 3tJ.f1511L 'PoIPAI -___D rye' 11 d1 ,( I __ rD _ � 1 - 1 PRDVIDESMORE-NEIECTINO = •; , I ALARMDEYICR AS�rµALTWATez- ��; l9'I AS TO PART.721.1 _ e' I Ij N.Y.R BUILDING DDDE - �� 7�, ��✓(� I � i '� I A_��h .SLhL'� V. '�: _ __ -, a/wrf�a, .� 'q7 NI �� ✓'I guu< m l p ovEr:�lEJ, ' - ILL FMIN ANEI•fCALD AMD/OR EWCfS SHOCKPART.902.6(K) .. - - THE DEVICES AS TOPARL902.6(K) 4N.Y. STATE BUILDING CODE. 10 .. NO I ° --_ r -`•1 I _ i- � EJ J - � - tC.A'I - �I I I r I p4-`ti\``Ira:i,�; ,... 1. Ir}F5E Dr<AV41`-i.aS PROG'CSE, TH'C? 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