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Home My WebLink About22884-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector To~rn Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-23944 Date: 10/10/95 THIS CERTIFIES that the building ALTERATION Location of Property: 1000 OAK ST (AKA 100 OAK ST) MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax [4ap No. 473889 Section 136 Block 1 Lot 36 Subdivision Filed Map NO. __ Lot No. __ conforms substantially to the Application fo~ Building Permit heretofore filed in this office dated JUNE 27, 1995 purs%mant to which Building Permit No. 22884-Z dated JULY 12, 1995 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 INSTALLATION OF A HEATING SYSTEM AND ALTERATION TO A ONE FAMILY DWELLING AS APPLIED FOR. CHANGE FOR ADDRESS CHANGE ONLY ON 1/4/11. The certificate is issued to JOSEPH F SZAWINSKI ( OWNER ) of the aforesaid building. SUFFOLK COI~I~I DEPART~T OF HEALTH APPROVAL RLRt-rRIC2J~ c~TIFICATE NO. P!~D]~B]~ u~flFICATION DA'r~ N/A NIA N/A rized ~gnature Rev. 1/81 FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO Z-23944 Date OCTOBER 10, 1995 THIS CERTIFIES that the buildin~ Location of Propert~ 1000 OAK STREET House No. County Tax Map No. 1000 Section 136 Subdivision ADDITION & ALTERATION Street Hamlet Block i Lot 36 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 27, 1995 pursuant to which Building Permit No. 22884-Z dated JULY 12, 1995 was issued, and conforms to all of the requirements of the applicable previsiona of the law. The occupancy for which this certificate is issued is INSTALLATION OF A HEATING SYSTEM AND ALTERATION TO A ONE FAMILY DNELLINO AS APPLIED FOR. The certificate is issued to ROBERT & MARY KATE DIOREGORIO of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. pENDING PLUMBERS CERTIFICATION DATED N/A OCTOBER 4, 1995 ~A Rev. 1/81 Form No. 6 TOWN OF SOUTItOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: A. 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 sewemgeqtisposal (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/I0 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 PI.arming Board Approval of completed site plan requirements. lB. Fei existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Acouiate survey °f pr0perty showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the apPlicafit. 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 dwelliug $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00, · Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, Buslnesses $50.00. 2. Certificate of Occupancy on Pre-existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 -4. Updated Certificate of Occupancy - $50.00 · 5. Temporary Cer!ificate of Occupancy - Residential $15.00, Commercial $15.00 New ConstrUction: Location of Property: House No. Owner or Ownem Of Property: .. Suerotk co ty mp No 1000, Section Subdiuision Health Dept. Approval: Planning Board Approval: Date. Old or Pre-existing Building: Date of Permit. Street Block FiledMap. Applicant: Underwriters Approval: 'Hamlet Request for: Temporary Certificate Fee Submitted: $ ~0 , ~ Final Cortificate: (chet~ one) Applicant Signature FORM NO.3 TOWN OF $OUTHOLD BUILDING DEPARTMENT TOWN HAU,. $OUTHOLD, N.Y. Ne 22884 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) Permission Is hereby granted to: CounNTax Map No. 1000 Section ..,.~..r...~c. ................................................................ pursuant to application dated ............. '"-// '~ ./.~..., .~..../~.... .......................... 19...a.,.~....~:)"~' .... Building Inspector. Fee $ ......................... and approved by the Rev. 6/30~80 Form TOWN OF SOUTUOI,D BUILDING DEPARTHEHT TOWN HALL 765-!802 ICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter OR ink and submitted to the bnilding inspector with tbs following: for new bnilding or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and umusual 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 11nderwriters. &. Sworn statement from plumber certifying that the solder used in system contains less tban 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and instaila'tions, a certificate-of Code Compliance from architect or engineer. responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 19571 non-conforming uses, or buildings and "pre-existing" la,d uses: [. Accurate survey of property showing all property lines, streets, building and u,usual 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, tbs Buildiog Inspector shall state the reasons therefor in writing to the spplicant. C. Fees i. Certificate of Occupancy - New d~0eliing 325.00, Additions to d~elling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory buildi,g $25.00. Additions to accessory building $25.00. Businesses $50.00. 2. Certificate of Occupancy on Pre-existin~ Buildine - $100.00 3. Copy of Certificate of Occupancy - $20.00 &. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00., Commercial ~15.00 New Constructios ........... Old Or Pre-existing Building ..... ~ ........ ~ / [ ........... ............. ...... ~ous.e · est ~, 'ian.ing Board Approval ........................ / '!~quest fo~: TempoL'ary Certificot~ .......... Fi,~i Certicste ........... 7ce Submitted: $ ~'~ q q ............ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [. ].~ULATION [ ~] FINAL DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] R~PLBG. [ ] FOUNDATION 2ND ~SULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE &C/HIMN~ REMARKS: ~ DATE '~ I~NSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] RO~UGH PLBG. [ ] FOUNDATION 2ND [ ~" INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE&CHIMNEY INSPECTOR ~.'~tEg~) "tN.'.~'ECX~ON nnt'owl' DATF. COm~EN'r$ FOUNDATION (IS'F) {{ {{ Il II II. II INSULATION PER N. STATE ENERGY CODE FINAL ADD~[TIONAL COlqlVlENTS.' ' ENERGY CONSERVATION CONSTRUCTION CODE PART 6 COMPLIANCE FORM · . ,'" TF!ERNAL RATING METHOD ONE-AND TWO-FAMiLY BUILDINGS - BU~EomGL~'S WI?FT.?~ GROSS FLOOR ~RC.I~CT ~ ~N~N~ ~ TELEPNONF~I ~' ..~'Z;' '70Zr'~ ~iFY[NG CONDiTiONS Al~ pre-qualiFying conditions ~or use o~ Part have been met. Yes No TOTAl THERMAl 3:la1 INr~_ The total Thermal Rating rot 'this building is '~ I ~ . The Worksheets that deveJoped this, Thermal Doling are allached. ~ Thermal Ratlng or~ zero or grea~er indicates U~aL the buJ lding envu~op~ compJ~e~ ~i~h ~he Energ~ Code. INSULATION: 781~.5 Element Requited SpeciTied Vapor Barrier-- where capable or absorbing moisture Continuity - a~ plake lines, s111 lines and corners y~ ir Lhe bulldJng does not meet lhe following pre-. 'aualirylng conditions~ Part ~ or the Energy Code may not be used.. ~ .YES Nn Building is one - or t~o-ramily residential. Building Is detached. Build£ng is less Lban 5,000 gross square feet. Building Is three' stories or le~s in! height. Entrance do6~§ have a slorm door or cert£fles U value or .aO or less. 'azing-area/g~oss wail ar~ is.: equal to or less titan: 2~% ir ~,oo0 degree d~ys 2~% jr 6~oo0 degree days 20% ir 7,000 degree days 18% jF 8,000 degree days 16% if 9,000 degree days tr ali oF Lbo above conditions are not met, ' Code must be used. SUMMARY OF IDIAL TIERMAL RATiN~_ , Ir [l]e TaLa1Th~[mo) ~aling is zero (0) or greater, the proposed design For the building envelope complies with the Energy Code. TI IERMAL TABLE AREA U-VALUe.. RATING' USED C. GLAZING .. ~indo~, l.l~ ,~o -~ Window I ~J Skylights a2. BaSEmENT/ CELLfiR ~fiLLS WaI] Perimeler Feet Exposu[e Above Grade Feet Wall U-Value ~ Feet Depth oF Wall U-Value Below Grade Inches 03. SLAB INSULATION Slab ~imeter Feet Insulation R- ~a!.um E. INFiLTRATION'CONTROL Conditioned Flooc Area Fo · .Gl. Area/Gross Wail Area-- Conditioned Floor Area Sq.Ft. Sg. FL; .... SOUTH FACING GLAZING South Glass/Total Glass . Percent. NOTES: Perce~t TOTAE THERMAL RATIN~ '~ I ~:~ DATE: JOHN E: STUMPF,. R.A'.,'. P.C. ,, '"' 101 NASSAU BLVD. W. -HEMPSTEA.D, N.Y. 1.1552 516-538-7048 .92.02' ~33W~ £,3N3~3 Examined ......... , 19 FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197~1 TEL.: 765-1802 Approved Disapproved. . a/c ..................................... · (B/d~/~n sp eciror) APPLICATION, F, OR BUILDING' PERM IT INSTRU6T~ONS BbJRD'OF HEALTH ......... 3 SETS OF PLANs ......... SURV£Y .................. cjl~c~ ". .................. S~PTI~ FORH ............. C^LU . i. )< HAlL TO: Date ......... : ......... 19 ... a. Tiffs application must be completely filled in by Wpewriter or in ink an'd submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public st?eets or areas, and giving a detailed description of layout of property muit be drawn on the diagram which is part of this appli- cation. c. ' The work covered by tb3s application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will i~sued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate' of Occupancy shall have been granted l?y the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town .of Southbld, .Suffolk County, New York, and other appl/cable Laws, Ordinances 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, b~ild-i~g~ode, housi.rig code, and regulations, and to admit authorized inspectors on premises and.in building, for necessary inspectio~tla.,~f/.~./ J- ~f' _ ...... / .~7~/ ~ . . . pp ' nt, or re{me, if a corporation) (Mailing address of applicant) State wh~t?~r applicant is~wner, lessee, agent, architect, engineer, general 'contractor, electrician, plumber or builder. Name of of premises .... ' ..... ~ ' ' owner ................................. , ............................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No. ~.D. ' L' T.B.U Plumber s ~cense No. . Electrician's License ................. Other Trade's License No... .................... I. Location of land on which proposed work wili be'done. House Number Street Hamlet ' Cou~ty Tax Map No. 1000 Section .... ,. · ........ Block ....... ~ ' .. Lot ............... St;bdivJsion ~..~.~e .... ~[~. .~ ...... '. Fi'ed Map No. Lot' q- . (Name) ~ ' ' ........................... State existing use and occupancy of premises and intended use and occupancy of proposed construction: b. Intended use and occupancv ~d -[k- (~O~)~ '~l~a,z,>7::'C~fb:, .,3 :?'~(~q, ?, .3. Nature of work (oheck which applicab, ....... ' . " pal ;/ ,w: ~ew ~u'-mng .......... Addition .......... Alteration ........ · Re r ..... r ........ Removal .............. . Demolition ..... ; .......... Other Work ............. 4 Estimated Cost , . Fee be paid on filing this application) 5. If dwelling, number of dwellln~ units .............. Number 0 f dwelli(nlg°units on If garage number of cars "' each flo~)r ................ 6. ~f. bumn. ess, co,mmercml or m~.xcd occupancy, specify nature and extent of.each type of u~e ........ 7. Lhmenmonsoiexistingstructu~es ifanv Front 2.qt ' · ~ "2t4.'t ~,, '--,, /,~ '~ ...... D~mensmns (}f s,a.[ne structure with alterations or additions Fro-*' ' "~ 0'"' ......... ,~ ......~_i't ............ 8. ~,--*n~ons mennre new cons~ructmn: Front .... ..~.. :',~ Rear...~ ..... Depth 9. Size oflot: Front · ..~.2 .............. Rear. ~ ~f)-,YZ Depth '?~...~..~Ot ~" 10. Date of Purchase ... ' ................. .. ' '/.'.' "," '. ............. ;~. Name of Former Owner . ' .......... 11. Zone or use district in wmcn premises are situated K~r*~¢~{ ii iii .............. ' ........ 12. Does proposed construction vioiate any zoning law ordinan'ce or regulation: t~.~2 ........ x, .... ~,J~'.4.' ~h~.'l.'; ' %1 ....... *~1 excess [111 De removea Irom nremises: Name of Contractor ...... · ..... ~ .... ..... ' ......... Address ..... , ' ' ' ' . ....... ~... Phone No ................ 15. I.s thio property within ~00 feet of a tidal 'wetland? *Yes .... No ....... · If yes; Southold Town Trustees Permit may. be required. '' ... PLOT DIAGRAM 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 descriptio~ according to deed, and show street names and indicate whether rATE OF NEW YORK, S!S . OUNr¥ OF ....... ...... ! ... T~. .o..kS~,C.~. .'. ~. .'~:. (._o. f~ ~.~.C,?.O. . .... . ...... being i:tuly sworn, deposes and says that he is the applicant (Name of individual signinlg contract) ' )eve named , . ' the (Contractor agent cor)brate officer otc ) ....... said owner or owners, and is duly iauthorized to perform or have performed the said work and to make and file this plication; that ail statements contalfied in tl~is'application are t'rue tO the best of his knowledge and belief; and that the ~rk will' be performed in the manner ~et forth in the applicati6n filed therewith. ~orn to before me this . ~ , ...................... day of. i .... . ."?Ff'Zc~. · · .~..' 3/ , , . County . .. ',, HELEN O0~EI! ' ' · ,. · ' ENI~RGY OONSERVATION CONSTRUCTION CODE PART 6 COMPLIANCE FORM '" THERMAL RATING METHOD ONE-AND TWO-FAMiLY BUILDINGS G)'azing-area/grdg~' w~ll area is" equal to or less than: 2/% ir 5,000 degree days 25% ir 6,000 degree days 20% Jr 7,000 deg[ee days 18% ir (3,o0o degcee days GROSS FLOOR AREA~f~' 16% iT 9,000 ddgree days 'NUMBER OF 5TORIES-~~ lf all or ~e above conditions arc no~ met, ~il.her PART 3, P~ilt h ~¢ ~AR1 ) o~ Lhe Energy DEGREE DAYS ~0~ "" Code musk be used. ARCM1TECT OR ENGINEER .-~ ~>~l~j ~TELEPHON~I~' ~ '"70~ .SUMMANY O1' 10[AL TIIERMAI. RA[iNG_ , IF /he Total Th~rma~ Rating is zero (0) or greater, the proposed ~Jeslgn for the building envelope complies wiEb Lhe Energy Code. TIIERM~L TABLE AREA U-VALUE,. RATING ' USED All pre-qualirying use of Part ~ iA. ROOF/CE1LIN~-~;~ for have been me~. ' Yes No The'lotal Thema! Raking For this buitdJng is '~ J ~ . The Worksheets thal developed this Thermal Dating are allached. A Thermal Rating of zero or greater indicales lhat Lhe building ~nvnlope complies wiU~ the gnergg Code. ~I~ESCR1PI IVE REOUiRFMLNiS INSULATION: 7815.5 Ele~nent Requited Specified Vapor Barrier-- whore capable or absorbing moisture ~ ~ Continuity - at plale lines, sill lines and corners Yc~ ~ Ir the bollding does not meei the following pre-. 'qualifying conditions, Part 6 of the Energy Code may not be used.. ~ .YES ND -- Building is one - er two-Family · residential. Building is detached. Build£ng is less than ~,000 g~oss sgua~e Feet. Building is three' sto~ies or less in! height. Entrance dodv§ have a storm door or certifies U value of .40 or less. NET .WALLS q4.~, .~)-/.'7. gob C. GLAZING Windo~ 01. FLOORS ,~ D2. BASEMENT/ CELLAR ~ALLS Wall Perimeler Feet Exposure Above Grade Feet Wall U-Value --Feet Depth or Wall U-Value Below O~ade Inches D3. SLAB INSULATION Slab Perimeter Feet Insulation R- , . E, INFILTRATION CONTROL Conditioned Floor Area .. Sg.FL. __ F. SOUTN FACING GLAZING South Glass/Total Glass. __Percefik' Gl. Area/Gross Wall ~ea'.~ _Percent Conditioned Floor Area Sq.Ft. TOTA~ THERMAL RATIN~.~ NOTES: JOHN 101 NASSAU BLVD. W.-HEMPSTEAD, N.Y. 1'1552 516-53~~7048 LEGALIZE & ,~tNTAIN wood emend, ~.¥: REVISIONS DATE: ~K~Len~ I~UN~D ~ ~D C~ BEFORE: , CE~I~ OF OCCUPA~Y $O~ER IJSED IN WATER / OCCUP~CY OR USE IS UN~WffiL ~1180~ NOTIFY BUILDING OEPARTMENT ATr FOR THE;' 1. FOUNOAT ON - ~0 REQUI~, FOR ~RED CONCR~ ' -- 2. RO~H - FRYING & PLUMBI~ ~ ,~ . ' 3. INSU~ON h-' 4 FINAL - CONSTRUCTION MUr~:", ~" ~OHN E. STUMP~ ' A~CHITECTS · GARDEN CITY, N.Z SOUPCOn, 516-538-7048 516-298-0181 ~<:~ - ' ~ ' DATE: - ~ . SCALE: I CHKD: PR~ECT NUMB~ SHEET NUMBER