HomeMy WebLinkAbout24826-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-26280 Date: 02/11/99
THIS CERTIFIES that the building ADDITIONS
Location of Property: 2000 KENNYS RD SOUTHOLD
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 59 Block 3 Lot 15
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated APRIL 1, 1998 pursuant to which
Building Permit No. 24826-Z dated APRIL 14, 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 UNHEATED SUNROOM & DECK ADDITION TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to GARY C LEIBLEIN
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. H-062595 12/28/98
PLUMBERS CERTIFICATION DATED N/A
7—�—/-,Z
Btd1ding Inspector
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. 24826 Z Date APRIL 14, 1998
Permission is hereby granted to:
GARY C LEIBLEIN
2000 KENNYS ROAD
SOUTHOLD,NY 11971
for
CONSTRUCT AN UNHEATED SUNROOM AND DECK ADDITION TO AN EXISTING
SINGLE FAMILY DWELLING AS APPLIED FOR.
at premises located at 2000 KENNYS RD SOUTHOLD
County Tax Map No. 473889 Section 059 Block 0003 Lot No. 015
pursuant to application dated APRIL 1 1998 and approved by the
Building Inspector.
Fee $ 75 . 00
Building Inspec r
ORIGINAL
v. 2/19/98
E l� l� f� U1IL� • -
. ' 11 ; TOWN OF SOUTHOLD
FEB J BUILDING DEPARTMENT- 9 1999
TOWN HALL
765-1802
SLOTOWN OF _
APPLICATION FOR CERTIFICATE OF OCCUPANCY
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 Beard Approval of completed site plan requirements.
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.
Z.r 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.
,
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 - .25C..
4. Updated Certificate of Occupancy - _$50.00
5. Temporary Certificate of Occupancy - Residential $15.00, gCommercial $15.00
Date . . . . . . ✓ . . . . . . . . . . . . . . . . . . . . . . . .
ew Construction. .. . . . . . . .. Old Or Pre-existing Building. . . . .
ocation of Property. . . Ubo . . 1� ... . . . . . . . . . . ^::a// ... . . . . . . . . . . . . . . .
House No. Street Hamlet
ewer or Owners of Property.. . . . . . ..`. .. . . . ..��. •. .• • . . . . . . • . . . . . . . . . . . .• • • • . • • .
aunty Tax Map No 1000, Section. . .0-5-F. . . ..Block. . . . . . . . . . . . .Lot. . . . .�� . . . . . . . . . . . .
abdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .Filed Map. . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
:rmit No. a.Date Of Perit. . .!../� ��. .Applicant. . . .y • • • • • •
ealth Dept. Approval. . . . . . . . . . . .. . . .. .. . . . . . . .Underwriters Approval. . ./���? � i • • • . -
Lanning Board Approval. . . . . . . . . . . . . . . . . . . . . . . .
equest for: Temporary Certificate. . . . . . . . . . . Final Certicate. . . . .
ee submitted: $. . . . . . . . . . . . . . . . . . . . . . . . . .
gl7 aPrLic
�o� a�aSa
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1
8072781 BUREAU OF ELECTRICITY
I 40 FULTON STREET, NEW YORK, NY 10058
Date DECEIMER 281,1998 Aa �a 168574,98/98 H 062595
THIS CERTIFIES THAT
alifRj tlCt on,fi'J26"'
only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of
GARY C, LEI,BLEIN, 2000 KENNEY ROAD, SOUTHOLD, NY
FP� 5
in the following location- ❑ Basement L'.1 Yst FI. 1:1 2.d Fl. Section fl Block Lot
was examined on ff.EMBER 21,1998 and found to be in compliance with the National Electrical Code.
FIXTURERECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT nUO1E3CENr OTHER AMT. I K.W, I AMI. KW. AMT. K.W. AMT. K.W. AMT. H.P.
16 3
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT.1 TIME CLOCKS J BELL UNIT HEATERS MUUIOUTLET DIMMERS
O.SYS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO, A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NOFEMS FEET AMT. WATTS
SERVICE DISCONNECT NO.OF _ S E R V - I --- C -E - - - -
METER ND.OF CC COND. A.W.G A.W.G.
AMT. AMP. TYPE EQUIP. 10 2W 1 0 3W 3 0 3W 9 0 dW PER 0 OF cc cGND. NO.OF HI-LEG OF NI-lEG NO OF NEUTRALS OF NEUTRAL
OTHER APPARATUS:
PADDLE FANS-2
G:1RY LEIRLEIN L L
2000 KENNEY ROAD
SOUTHOLD, NY, 111 GENERAL MANAGER
11
Opel
This certificate must not be offered 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.
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Town Hall,53095 Main Road �r� T Fax(516)765-1823
P.O. Box 1179 ?i �� Telephone(516)765-1802
Southold, New York 11971
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
November 24, 1998
Gary & Deborah Leiblein
2000 Kennys Road
Southold, New York 11971
To Whom This May Concern:
We are unable to complete your Certificate of Occupancy
because of the following reasons:
XX An application for Certificate of Occupancy is
not on file. (Enclosed)
ry , XX No Underwriters Certificate on file.
"--ZXX The check is (not on file. ) $25.00
No Health Department Approval on file.
No final inspection has been made.
No Plumber Solder Certificate on file.
(All permits involving plumbing being
issued after April 1, 1984) .
BUILDING PERMIT # 24826-Z
Please contact our office on this matter. Thank you for
cooperation.
SOUTHOLD TOWN BUILDING DEPT.
�IELD CommEUT°
FOUNDATION ( 1st )
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FOUNDATION ( 2nd ) — m
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ROUGH FRAME &
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PLUMBING 0
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STATE ENERGY
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INSPECTION
FOUNDATION IST ROUGH
• . . • • •
FRAMING
� r
FINAL
FIREPLACE & CHIMNEY
.tea-.:' 'r(�� / .1 dLii►./ � � � �
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DATEINSPECTOR %�
765-1802
BUILDING DEPT.
INSPECTION
( ] FOUNDATION IST ( ] ROUGH .-LOG.
[ ] FOUNDATION 2ND [ ] 1 LATION
[ ] FRAMING FINAL
[ ] FIREPLACE & CHIMNEY
REM A KS: �t �
DATE INSPECTOR '
r
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST ( ] UGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ]
FIREPLA^E & CHIMNEY
REMARKS:
--are, �
L�
DATE ECTOR
M-1802
BUILDING DEPT.
INSPECTION
( FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ]
FRAMING [ ] FINAL
( ] FIREPLACE & CHIMNEY
REMARKS: -
o
DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FO ATION i ST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ l FRAMING [ ] FINAL
[ ] FIREPLACE A CHIMNEY
REMARKS:
DATE INSPECTOR
2000 Kennoys Road
Southold, NY 11971
April 29, 1998
Attention : Southold Building [ evartment
Permit# : 248262
To whom it may concern:
This is in reference to the request for verification that two (2) footings were in fact
installed under the scratch coat as per the plans. These footings were two (2) foot by
two (2) foot by eighteen (18) inches deep. I know this to be true as I was present
when the concrete was poured. I am the owner of the residence located at 2000
Kenneys Road in Southold.
Sincerely,
Ao-", � '
Gary Leiblein
JOYCE M.WILKINS
Notary Public,State of Now York
No.4952246,Suffolk Coun
T6rm Expires, 12, 192
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BOARD OF DEALTD . . . . . . . . . . . . . . .
FORM NO. 1 3 SETS OF PLANS . . . . . . . . . . . . . . .
TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
BUILDING DEPARTMENT CIIECR . . . . . . . . . . . . . . . . . . . . . . . . .
TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . . . . . .
SOUTHOLD, N.Y. 11971
TEL: 765-1802 NOTIFY/::
CALL �... . . . . . . . . . . . . . . .
�1
Eucmiuned.. 19.... MAIL. TO: . . . . . . . . . . . . . . . . . . . .
!/ 1(� ................"....................
Approved...Yl.'. �t ., 19.... Penni t. No. �!.F�Cl. .
Disapproveda/r. .................... ............. ....................................
.................................. ?ILICATION
...
ng Inspector)
i
¢ FOR BUILDING PERMIT (J/
.E.
Date. . ./. . . . . . . . . . . . . 19��
INSTRUCTIONS
a I us app]rcation Mgt Se completely filled in by typewriter or in ink and submitted to [lie Building Inspector wit'
3 sets of: plans, accurate plot plan to scale. Fee`accordinp to schedule.
h. Plot plan showing location of 'slot and of Ixrildinps on premises, relationship to adjoining, premises or public
streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of
this application.
c. The work covered by this application my not be commenced before issuance of Wilding Permit.
d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such
permit shall be kept on the premises available for inspection Lhroughuout the work.
e. No lxuildinp shall be occupied or used in whole or in part for any purpose whatever until a Certificate of
Occupancy shall have leen grantcd-lry Ll: Building Inspector.
APPLI(nT10N IS mmEBY mc. to the Il Building Department for the issuance of: a Building Permit pursuant to the
Building- 7.cxe Ordinance of: the Town of SaLLhrold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for t1e 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, aril
regulations, and to admit authorized inspectors on premises and iu building or nese ary ns tions.
.... ......................a..................
(Signstur o7 a licant, r n if a corporation)
. ..!vo
...............................
(Mailing address of applicant)
State whether applicant is owner, lea.
, spent, architect, engineer, general contractor, electrician, plumber or builder.
....C1/�i �..... ......... ...............................I..........................
.. .... ....
Name; of owner of premises ........ .. ,. �.�. - ..............................................................
(as onctle tan roll or latest Gleed)
If applicant is a corporation, signature of (July authorized officer.
......................................1..................
(Name and title of corporate officer)'!
Builders License No. ............1............
Plumbers License No. ............t............
Electricians License No. ........�............
011er Trnde's License No. ....:..t............
1. Location of land on which proposed work will be doe....../. �"':�:'.; !.:::......... ............
......................................v................................................................................
House Number street Unit]et
County Tax Map No. 1000 Section ....... Mock ...Q.3........ Lot ...1 ........
Subdivision .....................L................ Filed Map No. ............... Int ...............
(Name)
2. State existing use and occupancy of premises and intended use and occupancy or proposed construction:
a. Existing use sal occupancy ...!...5!�:....... .1 ....................................
b. Intended use mxl occupancy ...... .1 ! /�y.. ....................................
1. ItIli ,e it talk (check tjIi(it algrlicahle): tkit Ihuildi[III .......... MIition . ..//.... .. AtIerill ion . . . .. .. . . .
14�luiiv . ......... .. It(entimaI ............ . Ik"iel it ioa ....... ..... Other Woilr .................... . ..... ........
(Descr ilit iai)
It. r Est mel Ml (bel. ...f U?a.C•r .... foe ............. ............................. ....
(lo le braid oo filing (ilia application)
rkxal Iin., rxnirer of thrall in units lknlx.r of thJ_I lin, units at each floor
Ifgarage, cliolwr of cars ........ . . . ................... .... ... .
A. If lyusiness, cuaterclal or nillatI (x:ctllwllx_y, specify rmlure aril exltst. of each type of use......................
2. Milensions of exist ilia stnx:turea, if oily! Frau... ...... . ... ... hear Depth .. ...............
Ik:iglLL ......................... Mnler of Stories .... ..... .......... ...
Niueur,io ns of sure strix:ture with alteraciats or aklilions: Front ....... .... .... hear . .. .... .. ......
Ik!plh .................... Ileial,L ........ ....... .... . bknlxer of Stories .......... .....
B. Oiueosiats of entire new constnxa i(xt: Flout. ........... ..... [tear ... ............ Dept It ... ........... i
IkilJd ......................... Mnixer of Stories ..... . ....... ....... /
� / R
O Si .... //. r I4esr ......... . �.... .�/. Ik. th v V ( �� •v,
.rude of lot : Frtxu �J�... l7 �1 ................. ...
10. lytta of Purchase. .......�.(. ,�....... . Nine of Fauna (wirer .:'7:,r> "... .✓`!".' f.��....... ..... .
It. ?1x41 or tae district in tAuidn prcinises tore nit-toll-ed ............. .... ..... . ......../...... ... ............:..... ... ..
12. Ikxes prolxmed toms(roction violate arty coring law, ordinance lir regulation: ....N�.......... . ....
I'). Will lulIx± rregraxletl ....Zf/f . .......rr//9Wilt excess fill le roll(Med Emit rry,�niseh: YES Nj�
14. Wnx:a of finer of prenisea ... ... ..7... .... kklress G/���.. 17 tate t)ol,'Y,_
ine ✓Z�
Nof Architect ba'�i ../�, / �J. �yS��!" (?':' /ukhess i � !! �?!.. I'lione No��.�.1a.1°.Z
Many! of ('dxtracfor .... y�......... .......... Adds ess ............. ......11tone tkt. .... ... .. .
15. is Ibis prolerty within :FOG feet of a tidal wctlatxll * YI>> ........ .. U) . .^�.....
*'IF Yliti, 'XXTIIKNI) -lam T141s11LS llilAfl'I' I%Y al? lupIlIiI).
PIAT NIA(;ItAll
I(x:ate clearly and distinctly all IxrihIh%,s, nAnether existing or proposed, and indicate_ all set-hal:k dirteosio)ts
flus prolwtly linea. Give Street tnxl Ku (ke
lock rxher or acr ipLian according to ikeed, aryl shav strD
eet aoea aril Ilxllcatt!
iketlxer interior or toter lot'.'
!i I'n'Ilr, (A; t834 Y()IK,
SS
()XIN (IF ... ...... ................
.... h .. ............ . . .. .. . .. . . ... . .. . .Ix!ina duly swot n, tlelxta(a aryl sayr, 11,41t: lie is the applicaul
(Nat! or itylivid(tal sil)niva coutrarl)
alwve tonal,
Ikei, the .... , .. .... ............. .. ... . .. ........ ..... ... . ... .. ... .. ... ........ . . ....... . . .. ... ....
(Qnitractor, ageol , corixtr(a a officer, etc.)
of said (Maar lir' uwux!ra, Doll is duty authorized to ler tuna of have 1,erformed the said moo tax[ to nadw wxl file thilr
applicatiuui Thal. nll ntatt+reats cootallxeil io Iris application are title to the Ixelit. of his koMledge oxl leiief; Dix(
Ihnt;Ahe (lint( will W Itecfollol-A in the evintter set forth in the applicat.ioo filer) therewith.
.")In to wlote lir title
.....day of: Igic�...
Ikt.my hiblic G%��.'-:Y.::- .C.N::.G�� :'••r•c:'\. �, _�
. .. . . .....................
HEIENED. HORNE lSigonlatre oP Applit:uu)
Not-fir Public,State of New York
No.4951;364
Qualified in Suffolk Countyy
Commission Expires May
a
OCCUPANCY OR tLIFUTE
USE IS UNLAWFUL REQUIRES
WITHOUT CERTIFICATE
OF OCCUPANCY
AP BR�����a�
DATE:
FEE: B FA
NOTIFY BUILDING D765-1802 9 AM TO 4
FOLLOWING INSPECTIONS:
1 FOUNDATION - TWOREQUIRED
FOR POURED CONCRETE
7 RO=JC.H - FRAMING & PLUMBING
+ISW ATION
-, AL , CONSTRUCTION IVIUST
-- IOMPLETE FOR C.O. ET
CONSTRUCTION SHALL ME-
--
R_CREh"ENTS OF THE N.°!
...,T I,ONSTPUCTION & ENERGY
p,r}T RESPONSIBLE FOR
i,C=kSTRUCTION ERRORS
i
1 FEE
L�FIE" ]
1-3 LJ l - I I f i
-
''""'`°
BUILDING CONSTRUCTION NOTES CODE COMPLIANCE
1. Light Requsemenle:Nab"bil*paw except kitchen*shag have natural gift
GENERAL: equal W 8%of floor area.
1. AN construction York shall comply with are New York Sfate Building 2. ventYOon Requirements:
Construction Code and with the roquiremenla doairy governing depatlnerFb, A. Habitable GPM except k"d,na and ballrooms wbeal shag have venMKI*n equal to 4%of floor area,W mechanieW ventilation
22 well asar rpuirenene of authorities having jurisdlCaorl. Pm idmg Iwo(2)as charges pr hour
2. All work shall comply with are New Ymb Kitchens as above,or 150 dm nechenkal ventilationk State Energy Code c Bathroom*as above,a 25 crm mechanical flogo,
a. R shall be the contractor's responsibility to submg the sin,de`sgn, d. All fans shall exhaust directly to eeeri,
and type Of mechanical systems whwh will be used in sufficient detail
as required by the Building Deparhoent t 3- Sawndary Eats(Wadov,)shag be 4 Square Met mnimum with a minimum
b insulae all duds and piping as required by code, dinens in of IW and a mmxknum IN height of 42'above finished floor.
c All Windom.door sifts opening&etc.shag be caulked and
xwathersirippEd 1 4. Sledges,she#be 36'width minimum.Z-8-clear.
3. Provide one smoke detector on each poor including basement. Provide I CARPENTRY -
- smoke detectors In all sleeping areas. All detectors to be directly wired to 1. Framing Douglas Fu a2 or bens
the elecnwl system of the home.
2 SIN Plates to be 2x5 Treated 40 year CCA with sill seater
4 Engineer is not responsible for the supervision of construction. General
Contractor mut verify all dimensions and conditions before construction of 3. Provide double header,and biller,at all stair and flow openinpa under aN
fabrication. Engineer mot responsible for any Changes without voiaen prim Posta and Partitions running parallel to same. Rafar M pen.
approval.
4. Provide bridging for ail floorlome,
5. Do not scale drawings. 5 Provide solid blocking under ad bearing points
6. The engineer shall be responsible of the content of these drawings orgy. He 6. Openings to have(2)2'x10-heads,anis,m hwaiss noted
shall not be held responsible for any materials,workmanship,means or
methods of construction. The Engineer shall not be held responsible for are 7 Smuctu,l metal wnnecto,as required for all flush structural bad carrying
design or installation of materials and equipment Electrical,plumbing, ccndmons
heating,ventilation,air conditioning or any system not speefically comemad
in these drawings. 5. A"Structural Metal wnnecto,for bush bad bearing girders,headers,etc.tug
be Simpson--Over The Top'Type or Equal
7. Electric construction is to confom tothe National Electrical Cade,New Yoder
Stele Building Code,and LILCo. CONCRETE I FOUNDATION
B. Plumbing a to conform to the County arid local health department 1 Strength 3AOO PSI at 26 day ASTM C-94 ready mut concrete
requirements and NYS Code 2. AN lowngs,foundations etc she"rest an undwWrbad sot.
g. LIMITATION OF PROFESSIONAL LIABILITY 3 Sill bearing capacity ahOU 4,000 PSI. Contractor,hall conduct wN est to
By acceptance and use of these plans the owner/builder/agent agrees to lank verity bearing capacity prior M construction and report any discrepancy m
the liability of East Fid Draping 6 Design,and their draftsmen due to neglect Engineer.
acts of awns,such that aro total aggregate liability of East End DM%%6
Design,and ger,draftsmen shall not exceed the btu fee for services renderod 4. Footing*wag be 36'below Finished grade mJnkn=.
can this pmjecL 5. Ag lootings,fOwWawns shag be famed.
y+ ,llROPOSIM ADDITION
L. sr!' 4 TO Tire
END - - LEIBLEIN RESIDENCE
SCALE. Vy"1-'D' APPROVED By PRAWN BY —A.h.K
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