HomeMy WebLinkAbout23654-z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No—Z-24749 Date NOVEMBER 20, 1996
THIS CERTIFIES that the building ADDITION
Location of Property 365 SEAWOOD DRIVE SOUTHOLD, N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 88 Block 2 Lot 1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 15, 1996 pursuant to which
Building Permit No. 23654-Z dated AUGUST 30, 1996
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 2ND STORY DORMER ADDITION TO EXISTING ONE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to GEORGE & EMILY LANOS
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE. NO. 13589 - OCTOBER 22, 1996
PLUMBERS CERTIFICATION DATED NOV. 4, 1996- MATTITUCK PLUMBING & HEATING
B lding Inspector
Rev. 1/81
FOES[ NO f
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)
N° 23654 Z Date ....... .............. ....�................... 19...
Permission is hereby granted to:
". .46 .... ........ �/►zdo
1�yk
.....r ..T4......................................
....� .... c:.y:.f�. q
to . .. ....... . ...,car... �e!� ...... .. ............. . `- ... ........
�Q..... ........... . ...... ... . . .r. A. ? ........................................................
atpremises located at ........... .ar... .�.... ..................... ......................................................
.......................................................... .. .... ....................................................................
.................................................................................................................................................................
County Tax Map No. 1000 Section ............ ted... . Block .......... '.... Lot No. ........ ............
pursuant to application dated ....................... .............. ...� ., 19./... and approved by the
Building Inspector.
Fee $..7J.. ..
.... .. .... .................... ... ... ...... ........................
Building Inspect
Rev. 6/30/80 ;
g
BUILDING oar.
INSPECTION
[ ] FOUND N IST [ ] ROUGH PLBG.
[ ] F DATION 2ND [ J INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
le
f lzee
IN8
DATE
suauiNc DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROU PLBG.
[ ] FOUNDATION 2ND [ ] 1 ULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE fl CHIMNEY
REMARKSIx
r
DATE O INSPECTO JAA
M-1802
BUILDING DEPT.
INSPECTI 6
[ ] FOUNDATION IST ] UGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE # CHIMNEY
REMA idJ
Ile
DATE 1017- 141vINSPECTOR L�
T6S-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION iST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ INS CATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE 8 CHIMNEY
REMARKS: A�
DATE /l �� INSPECTO
OC,4? OP So(:7T'
3 =LD 1?iG D cP AR-IXENNT
TOWN HAL 7
763-i 802 2 5 .n^
APD?_CATION TOR CiRT Pic;i_ OF 3CIUp1.,CI;I
A. This application must be filled in by Jpe*.ori=er OR ink and submittad to the build' ;Q_
inspector with the following: for new build'ng Or newuse'
Finai sur'Tev of :)rooert;% vi-h accurate location of ail ou=ldings, property lines,
streets, and unusual natural or topographic features.
2. Final Approval from Realth DeDt. of water Supply and sewerage-disposal(S-9
3. Approval Of eieCtr1C31 installation from 3oard of Pile Underwriters.
Sworn statement from plumber certi,yi.*ig that the solder used in system Contains
less than 2/10 of 10 lead.
3. Commercial building, industrial building, multiple residences and similar buildings
and-installations, a certificata of Code Compliance Zrom architect or engineer
' responsible for the building.
o. Submit Planning Board Approval of completed site plan requirements.
3. Por existing buildings (prior to April 9, i957) non-conforming uses, or buildings and
"ore-existing" land uses:
0
1 . Accurate survey or 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 applicant.
If a Certificate of Occupancy is denied, the 3uilding inspector shall state the
reasons there-For In writing to the applicant.
F -s
.. i
1 . CartiLicate Of Occupancy - New dwe!1 ung 325.00, Additions to dwelling 525.00,
Alterations to dwelling 525.00, Swimming pcoi 325.00, Accessor7 building 325.00,
Additions to accessory building 323.00. 3usinesses 350.00.
2. Certificate of Occupancy on Pre-existing 3uildine - 3100.00
3. Copy of Certificate or Occupancy - .25,c.
4. Updated Certificate of Occupancy - 550.00
3. Temporary Certificate of Occupancv - Residential 315.00, Commercial $15.00
Date Q S !.�. . . . . . . . . . . . . . . . . . . . . . .
New Construction. .!\. . . . . . . Old Or ?re-existing 3uirlding. . . . . . . . . . . . . . . . .
Location of Property. . .3A,:57. . . . . . . . .. . . . . . . . . . . . . . . .SO U' �fel . . . . . . . . . . . . .
House Vo. Street Hamlet
Onwer or Owners of Property. -GJ qjw.� L-Q`i0 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County Tax Map No 1000, Section. . . .K Y. . . . . . .Kocc. . . Z. . . . . . . . . . .Lor. . . . . J. . . . . . . . . . . . . . . .
Subdivision. 5 . . �� . . . . . . . . . . . . . .=ii ed Hap . . . . . . . . . . . .Lot. . . . . . . . . . . . . . . . . . . . . .
Permi_ No. 0.3. .. . . . . . .Date Of Permit.6241- Appi-cant. . A�41-LiA- S
Health Deot. Approval. . . . /)1A . . . . . . . . . . . . . . . .i;nder-writerspproval. . . . . . . . . . . . . . . . . . . . . . . . .
Planning 3oard Approval. .!"%? . . . . . . . . . . . . . . . .
2acluest for. Temporary Certificata. . . . . . . . . . . _nal Car__caca. . . . . . . . .
. ae Submitted. 3 . . . . . . . . . . . . . . . . . . . . .
c07y9
r 0
:ice "y
Town HMI, 53095 Main Road
...,; Fax (516) 755-1$23
P. O. Box 11179 -a ;J Telephone(516)765-1802
Soutliold,New York 11971
i
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T 1 O N
PATE:
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1
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Building Permit No. 3 S1� 7—
Owner:
owner: �rEo IZ 'E -d ,'
f (pleae .print) '-
I
zl Plumber: s• u Ulm .n -moo-
t' (please print) h� OrP
F V
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(Plum era signat
Sworn to before me this
day of 19 94
Notary Public, County
a
N1
Quelilied in
YrnBS JURAft-
-re""
i
-------------------- •-------•------- -------------------------------------- - ------- -- ------ --------------i,
11/0411996 16:14516-734-72306 LADEh9AH1I ELEC IHC, PAGE 01
i
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EM ACTRICAL INSP sCTION SF,RVICE INC.
373 DUNWNAMUE
4
EASY PA7rHOGUE.NEW YORK 11772
(31 d}28"612
ntrr: 10�22-96 13589
APPI.ICAT1ONNa ONP71R
:
,
,i OUAGE: Southold T1�WN: Southold
i
.4 AODRM4: 365 Seawood Drive
isSup Trl: George Yui lY Lande
i�vTRaDucEDBY. Lademann Electric Inc. IX>vo. 4141-E
was sxu►nb►rd on and fi mn d to be 1n compkdwv with tht Namwidl Elm*fcal
Cods
10-22-96
............................
L(7f;,1 TION: Bose.. I N ?nd Xt 3rd Amo
Det Garage Not Tub Pool
_•"....W......... ......Yi
SW171CNFC RirC1:P7'ACLES F/.tT(1RF.S HFATTRI FANS (:.F.I. A/R.CORD.
i
9 15 9 2 1
DIS VA-gRR'R DRYER C!•C7MESWASH. GAP.DISF. RANG$ OMEN SMOKEDOECTOR
i
3 :.
P'CIRNACE OIL GAS CIR. MOTDRS BELL IRAN. YACB DISCONN&yCT
G
07TIF.It
SES.
1:�i UST
UUO S SURDI
PRESIDENT
BUILDING PERMIT No. we�r+iww.o+ue.rd+ew.nr+ ►
byes.my be by tA*aeds ido
BLUE ORIOINAL Y81,LOW COPY PIH1K COPY Omm
F l I I.I) 1 US 1, I.ION RI;I'ORT DATE. COMMENTS
- _ - ------ _ --. -m--
• _. - _ of
POIINI)AT I ON
POIINDAT ION (2ND) t�
I - �
ROMAI FRAMM & II
1'I.lihllliNC {
1A
1IJSIII.A•rION VER N. Y .
STATE I?NIiRGY
CODE,
I
_.
FI TJA1.
ILA------ �
ADDITIONAL t OMMGRUS:
- --- ----------------------------
-------------
- - o
cd
EINERGY CODE CALCULATIONS
(For Non-ElecL•ric Ileat) Design CriLer.ia G , 000 Degree'.Days
O.A. 100E I .A. 7U°F
FO It,
Q hos PER:
J
2nd .S or y A d/ r l uz% ll11'1'EU
DESIGN '1'lIls1tMEL REMARKS
SUBSYSTEM AREA "U" R11'1'ING
1;xl:erlo1: Walls (opaque) jf3j p67 4-c3• 14
(;laziny �� Pj L 32,
p✓ $ �„A
I
Doors __--
Ccilit►y/Itoof (Opaque) 3 r7 Q
Skylights _ $
Floor
1'oundat•ion Walls
Slab Insula Lion
TOTAL + 2 r V €^ w
Notes
�
9 ,6
Building Envelope Systems to meet requirements of 7!315. 2 AUG-, � 5 � `�
IIVAC Equi.pement to meet requirements of 7015. 11
IIV11C Systems to meet requirements of 7015. 1'2
Duct Systems to meet- requirements of 701.5. 1.3
Ventilations Systems to meeL requirements of '1015 . 19
111sulaLlort of Piping Systems to meet requiremertLs of: 7015 . 15
Service Water heating Systems & Equipment to meet requirements of '1015 . 21
Electrical & Lighting Systems & Equipment to meet requirements of 7015 . 31
pF NEW
'1'o the best of my knowledge, ao�P�S CE TV
belief, & professional
juclyen►ent, these plans are i.ti vQ 49
coutp.liance with the code. r
8
�F 1
OA9OFESS1014
9�
65.1802
ILDING DEPT.
4 INSPECTION
[ ] FWNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] 1 TION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
-_tel
4-1
DATE (l INSPECTOR
BOARD OF i1RA1:I'll . . . . . . . . . . . . . . .
FORM NO. 1 3 SET'S OF Pi.ANS . . . . . . . . . . . . . . .
i
- � - - 'TOWN OF SOII'1'1101.1) SURVEY . . . . . . . . . . . . . . . . . . . . . . . .
I i1111LD1NG DEPAR7'MEN'1' CIiECR . . . . . . . . . . . . . . . . . . . . . . . . .
AUG 5 1996 •roWN nnl.l, SEP11C FORM . . . . . . . . . . . . . . . . . . . .
8011'r1101.D, N.Y. 11971
BLDG. DEPT. 'FEL: 765- 1002 NOTIFY:
.TOWN OF30!_1TkOl.O ,. CA1.1.. .�o-x?4 \ . �t���C�rr►S
Examined. 9 ., 19.% ✓ MA1i, T0: ` . . �.- �� . .
Approved... .., 19! Penni t No
Disapproved a/c .... ............. .��. '. g ..
1)ui lclint; L�f:or)
A I.ICA'i'ION FOiL iIiIII.DiNG PERMIT
Date. . . . . . . . . . . I9. (o
INS'r1tUC'rIONS
a. 'Ibis application mist be cumliletely filled in lry typewriter or in ink aixl sulanitted to the lktilding Inspector- Willi
3 sets of plans, accurate plot plan to scale. Fee according to schechile.
b. i'lot plan slxiwing locat'iorr of lot and of Imildings of premises, relationship to adjoining premises or lxiblic
`streets or areas, and giving a detailed descriptiosi of laycxit of property mist be dram on the (ling", n which is ivirt of
this npplicaLicxi.
c. 'ilie work cmw.red liy this applicaticxi rrry not be cairrierx_ed before ismiance of ilciilding Permit.
d. Upon approval of this aliplication, the Riiilding Inspector will issue a Building Permit to the a0fAicarit. Srirh
permit shall lie kept on die premises available for inspi-ction throi►glimit the uiork.
e. No Wilding shall be occupied or used in whole or in part for aiiy purpose whatever rn)til a Certificate of
Wctigkaix-y shall have been granted try Il)e ihii1ding inspector.
Al'11.1CAI ON 1S iHiRrIIY MMC to the Noilding Department for the issuance of a ikiilding Permit purmiant to the
Wilding 7A)iie Oux1hunice of Lbe Tmon of Smitliold, Suffolk CxinLy, New York, arxl other applicable laws, Orclin.�inces or
Regulations, for the constnictiai of Imildings, additions or alterations, or for renal or demolition, as herein
described. 'Ilia applicant agrees to comply with all. applicable laws, ordinances, Wilding code, lxxising code, and
relnilaticxis, arxl to admit ariLhorized inspectors mi premises and in ixinecessary inspections.
.............
(Siln>.ature of applicant, or mrime, if a corlx)rntion)
(Mining address of applicant) " 37
State wl►etlier applicant is owne lessee, agent, architect, engineer, general cmitractor, electrician, phnber or Wilder.
e�Q ....................................................................
Nave of: owner of premises .. ��� Q . '1�.... vYl.l.l ..��.(7Q�.. ...............................
(as (Ire tax rx)lI or latest c J)
If alrl)licarit is a corporation, signature of duly aciU►orized officer.
.........................................................
(Mann aixl title of corporaLe officer)
Viiilders License No. ..? .!'JtO.�- +� �c'11c� P 4' 1a)1,No'v 'S
Phiribers incense No. ........3 -.. .
Electricians License No. )'-�1-E....' .L-p Ak-yn Qnn (RLec�
Oilier 'Tale's l.icense- No.
1. 4)caLion of laml on which prciTx)sed work will lx-, ik,ik..............................................................
61C(c ........ ...............................................
ikxise Ntotber Street Ilaiilet
CoiinLy 'lax Kip No. IiXX) Section ..8.5 ....... Block ....02� ........ lot ... �.,.
.C)n1xJiVISirx) Q,-L,(nciA....�ec2).... Filed PL•rp No. ............... Lot ...............
(1 wm)
2. State existing use and occtipaixy of prom ise1s•and intexlecl use and occupancy of proposed construction:
a. I''xistiiig use and occiiiiancy ... �c�lCi lC�
b. lnteixlecl cine and occupancy ... .Si� .................................................
...
1. Halure of %mik (ca)eck width applicable): 1Jc-W Ikiildinll ........ . . twklition ... Alteration .. ........
Itcel►r►ir ............ Itauoval ..... Denx)1
Kion ............ Other lJork .................. ..............
-A, c:
(Desription)
4. EsLiuklted Cnsl: � ��d t..r..... fee ... � :�� ....... ...........................
(lo be paid cxl filing this applicatioo)
i. If ckxel I ing, ncul)er of ckaell iog units ....!....... liul)er of ck,rel I ing units off each floor ..........
If llarage, lrnber of cars ........ ....... ...................... .
6. If Ixlsl►►eas, cxxmiercial or mixed oct:upalicy, specify lulture n►KI extent: of each type of use.............
DIuxensicx)a of existing el:rcic ores, if any: Prtx)I:.'�..... .. ... Itear ........ lleptli .. ' • ......
Ik:igl►t .....KD...............•. UsA)er of Stories .. .. .. ......._.. ..
Dineusicx)s of serve s(rcx:Lure with alteraLions or exkiitions: Front .... J...... Itear .. S
Depth .Cil . ....•...... IWAI Jlt ...l.to., Fi,dx r of Stories ...
If. Dilensitx)s of entire ilew coOsLr1x:I:icxl: Fruit . . .... ..... Itear ...��?......... Depth .. .3
ik:itlhl: ..��.................... 1AW)er of Stories ..�.... ... ........ .
9. Size of lot: Vioni: .100........ ...... Itear ...).QQ.. ......... .. Dept!►
M. Iklle of Nlrc:hase ..................... Nex►re of Dormer (Mier
Zcxle or use disf.rict in wlli(Jl prelnisea are situated ..'IZz C• 5— « •• . ,,.•••.••••• .••.
12. Ikxes prolx)►;ed coOstrim:LlO) violate any Unling law, ordina►)ce or regulaLicx); ...
F) Will lot he reilraclecl ...'0 �D...•..••..• will excess fill 1)e relKwed frcxn premises: YLiS ND )
14. Nares of Owner of prexnisea .(`�.�.4�eQ,ft Q_��-A(l�k7rens � P ..��� IiKxx: No.
N:n � o(' v �eooK-�l.On t��• tt��}' ..
x ArcJiitec:t ................ Acklress .. livoOe No.
. � L [ ' .�G)(oNxrx of (onCractor kiress d <'"oc (1
.teltM'!x)ne Nei. �� 17.-g�OQ
15. is this properLy within 300 feel of"a tidal wetland? * YES .......... IJC) .✓
*IF YES, 911111KID 'll: M 'IM)SIIFS 1111HIT MAY 1% W-iAli(tlM.
PLOT DtAGRAH
Locate clearly and distinctly all h<►ildings, wilether existing or protlosed, a►x) hulicate all I)ati lalenskons
fr-1 prol)erty floes. Give street aril block rrxd)er or descripticxi according l:o deeds anxl s1►ow sLreet nainee alx) irxlicate
%A►ether interior or corner lot.
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(W WW Y(H(K,
UAIrl1Y (A? .•`.:.`` . ... . ll
...aikme.l b g - • .•.. .•.... ... ..being duly cti+eun, delx)ses aixl says that 1)e is (lie appl icaul
(Nom of ilxllvldkial. al plio contract)
nlxwve ru.ncd,
Ikein IIlea ... ...•���/L ���..............•......•.. . ..... ......................................
(QmLrartor; allenL, corliorate officer, etc.)
of :►aid owner or onxers, fill() is duly ficlt.l►orized to ixerfolm or have Iuerformced (he said work cad to uadce arx) file Ibis
nppl icatiun; that: ►►11. statanenta (cnitai)ictl in Lliis fippl l(:atlou are hili, Lo the bell: of his krK)wleclge n►xl liel ief; aixl
bort. Life work will lie perfon)xd in the tmoiwr aeL forth in the applical:ion filet) therewith.
;?worn to kJore it! this
l 5.."...-lt ly of .........
Notary N)blic
..... ........ .........................
HELENS D.HORNS (Signahire of Appli(.-ant)
Notary Public,State of New York
No.4951364
Qualified in Suffolk County 0
Commission Expires May 22, 19
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. _ _ _ _ - __. _ __ DAT B. "s {
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E. 7
765- 02 BUD ME a
AT __ _ _ "�_ �w."Lx 3S
,I FEE:
r - - - _. __ . '.-t_. ._ _ ._ . ✓ 0 02'9 AM.TO R THE - - ,_-_•, _ . .
a __
_ + WING INSPECTIONS:- p
1. FOUNDATION =- TWO REQUIRED T,Y^ ', _ I� - ' >• k
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FOR POURED CONCRETE ""t -�' '
FRAMING &PLUMBING
3, INSULATION, • - _ t, � - SOWN aF sau MO�tl �.a r` -,',}
Q. FINAL CONSTRUCTION MUST
_ - BE COMPLETE FOR C.O.
.,,.ALL CONSTRUCTION SHALL MEET
t -topper tubing is Ute
THE REQUIREMENTS'OF THE N.Y.
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If Uteri STATE CONSTRUCTION R ENERGY' _ .' �. �"t hl
for water distributing CODES. NOT RESPONSIBLE FOR
-"Il_'-
PLUMBING system; Piping shall be DESIGN ORCONSTRUCT10K ERRORS
t ALL PLUMBING WASTE of types Kr L only ',)I" _ ° ,
u - -
r 8 WATER LINES NEED
IS TESTING BEFORE COVERING
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