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HomeMy WebLinkAbout22513-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCuumANCY No Z-24052 Date NOVEMBER 30, 1995 THIS CERTIFIES that the buildin~ N~W DULLING Location of Propert~ 1435 ACKERLY POND LANE House NO. Street County Tax Map No. 1000 Section 69 Block 5 Subdivision Filed Map No. SOUTHOLD, NEW YORK Hamlet Lot 7.3 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NO%~MBER 25, 1994 ~ursuant to which Building Permit No. 22513-z dated DECEMBER 2, 1994 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 ONE FAMILY DWELLING WITH ATTAC~ED GARAGE & FRONT COVERED PORCH AS APPLIED FOR. The certificate is issued to (owners) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL BRIAN & KAREN BECKER R10-94-0102-NOV. 29, 1995 ELECTRICAL INSPECTION CERT. %7916 - SEPT. 13, 1995 PLUMBERS CERTIFICATION DATED NOV. 8, 1995 - RONALD D. JEWELL Rev. 1/81 / Building ~n-sp~ctor/ TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 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: i. 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 lass than 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificata 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, 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. 2. 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. C. Faas 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 Buildin~ - $i00.00 3. Copy of Certificate of Occupancy - $20.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $i5.00, Commercial $15.00 ...~.. ~ate .... Z~..~ .... o?. ......................... House No. Street Hamlet of Property ~ .~.~'..~.~P-Y'~ ................... '' Onwer Owners .... County Tax Map No 1000, Section .............. Block ................ Lot ...................... . . ..... ...... . .. ilad ........... . Lot ...................... ........ ~ [ ~ e Permit ..... Applicant. .~ O ' Permit No .... ~..~.~..Dam Of ................. Underwriters Approval · · Approval ....................... Health Dept ........... Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Cert~cate ........... Fee Submitted: $ ........................ ~ ~ ..................... ..... co ~q05~ TOWN OF SOUTIIOLD OFFICE OF BUILDING INSPECTOR P.O. BOX 728 TOWN HALL SOUTHOLD, N.Y. 11971 TEL. 765-1802 ~ E RTI F I CAT I O N Date (please print) (please print) I certify ~that the solder used in the water contains less~ than 2/10 of 1% lead. supply system " (plu~ er's signature) Sworn to before mo this 19...~. ~Otary Public, ~/~County /? / No t a ~c MARIE JONES Nots PM)lie, State of New No. 01J05046961 S..o,. co... Commissmn Ex~tres Jul~ 24, ..... Town Hall, 53095 Main Road P. O. Box 1179 Southold, NewYork 11971 Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD October 31, 1995 Mr. & Mrs. Brian Becker 421 Edwards Avenue Calverton, NY 11933 Re: BP #22513-Z Filed under Pamela Hunt 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) xx No Underwriters Certificate on file. xx The check is not on file. $25.00 xx 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 # 22513-Z Please contact our office on this matter. Thank you for cooperation. $OUTHOLD TOWN BUILDING DEPT. ** - BEFORE CO CAN BE ISSUED, BASE MUST BE ON DRIVEWAY & FRONT WALK AREA. FORM NO.3 TOWN OF $OUTHOU) BUILDING DEPARTMENT TOWN HAU. SOUTHOLD, N.Y. N_0 22513 Z BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED] CouniyTax Map No. 1000 Section ...... .~..2. .......... Block ...... ~ ............... LotNo ............................. pursuant to application dated ........... ./../,/..~..~...~ ............................... 19....~., and approved by~e Building Inspector. /~ / Building Inspector Rev. 6/30/80 STATE CODE '. inc. I800) 343-5395 in NY [516J 928-3330 Fax [516] 929-3835 GATEWAY DRIVE, WAOING R!yEF~, NY CONSTRUCTION BSTIMATINI3 SERVICE INVOICE BILLING DATE 03/29/95 CUSTOMER BRIAN & KAREN BECKER STREET ACKERLY POND LANE ATTENTION DATE DUE UPON RECEIPT DATE COMP. 03/28/95 CITY SOUTHOLD ZIP 11971 DESCRIPTION OF DRAFTING AND SERVICES REVISED CONSTRUCTION PLANS TO THE ABOVE STATED RESIDENCE TO REFLECT 2X4 EXTERIOR WALL SIZE INSTEAD OF 2X6. ENGINEERS REVIEW & SEAL. 3 SETS OF PLANS. TOTAL AMOUNT NOW DUE. PLEASE PAY PROMPTLY AMOUNT 100.00 WE NOW EXCEPT VISA/MASTERCARD. IF YOU WISH TO CHARGE YOUR DRAFTING CALL WITH ACCOUNT NUMBER. WE HOPE THAT THIS JOB WENT WELL. EVERY EFFORT WAS MADE TO INSURE ACCURACY. THANK YOU FOR USING CES. DISCLAIMER: The estimate herein provided by Welter Construction Services d/Wa Construction Estimating Services, are estimates only. No warranty or guarantee of any kind or nature, either implied or stated, concerning the accuracy of any aspect of these estimates is made. The purchaser of these estimates assumes full responsibility for their use. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ .] I~LATION/ [ ] FRAMING [,~ FINAL [ ] FIREPLACE & CHIMNEY ,,,~,,,,,~s.. ~~ ~,Id-~ ~6S-J.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: ROUGH PLBG. [ ] I~ATION FINAL DATE INSPECTO~ 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION FRA~ ~ ~ -FINAL [~.~"FIREPLACE & CHIMNEY REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGHPLBG. [ ] FOUNDAT~2ND [ ] INSULATION [~ ~4rl~llNO [ ] FINAL [/-/] FIREPLACE & CHIMNEY RKS: , DATE '"~/~/~~NSPE~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [[ ] i~NsuGLHAT~L;;' [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE 765-1802 BUILDING DEPT. 765-~.802 BUILDING DEPT. INSPECTION FRAMING...-, [ ] FINAL DATE 765-1802 BUILDING DEPT. FOUNDATION 2ND [ ] INSULATION FRAMING [ ] FINAL ~~ou~'NSPECTION ATION IST ~ ~ ROUGH PLBG. (516) 286-6642 ELECTRICAL INSPECTION SERVICE INC. 375 DUNTON AVENUE EAST PATCHOGUE, NEW YORK 11772 7916 APPLICATION NO. ON FILE DATE: 9-13-95 ADDRESS: 1435 ~k~rl_v P~nd Rd. VILLAGE: ,q~,a~.h~ltl ISSUED TO: Bgian - Karen Becket INTRODUCED BY: Avey Electric Inc. LIC. NO. 2069E AREAS LISTED WERE INSPECTED ON:~ AND WERE FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRICAL CODE. TOWN: LOCATION: XX BASE OUTSIDE,RES, 1 32 Switches 52 Receptacles 30 Fixture/Outlets 1-Exhaust 1st floor,Bath SERVICE DISCONNECT METERS AMPS PHASE 1 100 OH THISCERTIFICATEMUSTNOTBEALTERED ~ANYMANNER. ~SPECTORSMAYBE ~ENTIFIEDBYTHE~ CREDENTIALS. XX 1 ST XX2ND SMOKE DETECTOR 7-G.F.I. 1-20 Amp. Washer 1-30 Amp. Dryer 1-Bell 1-Range 2%8 3RD XXATTIC POOL __DETACHED GARAGE 1-Dishwasher 2%12 l-l-H? motor for well pump 1-Future Whirlpool 1-Timer switch for Whirlpool 2-F 0il GO S. SURDI PRESIDENT ~ FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 1197J TEL.: 765-1802 Exanffned .... [.J'/.'~. .... ,19 't~f~ ''/2~¢/'' 97./~. Permit No. ?.J_..J~..~..~..' Approved · · ,/; ..... ,I Disapproved. a/c ..................................... . (B~2~,i'ng Inspector) APPLICATION FOR BUILDING'PERMIT B~ARD'OF H£ALTH ~ SETS OF PLA~s SURVEY CII~CK '~ /"' M~IL TO: INSTRUCTIONS a. Tiffs application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 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 sti'eet~ or areas, and giving a detailed description of layout of property mu~t be drawn on the diagram which is part of this appli- cation. c. The work covered by tiffs application may not be commenced'before issuance of Building Permit. . d. Upoh approval of this application, the Building Inspector will issued 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 by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Build3ng 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. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and itl building for necessary inspections (Signatur~ of applicant, or name, if a corporation) (M~iling address of applicant) State whether applicant is owner, lessee, 'age't, architect, engineer, general contractor, electrician, plumber or builder. Name of owner of premises .. (as on the tax roll or latest deed) If applicant is a corporation, signature 6f duly authorized officer. .... ~ r'at~ ' (Na e and title ofcorpo !o ceo Builder's License No .......... ~ ............... Plumber's License No ............... :, ......... Electrician's License No ............ :: .......... Other Trade's License No. 1. Location of la'nd on which proposed w~rk will be'done. · .. . ...... c .. .... House Number . ~treet .......... Hamlet Cou ty Tax Map No. 1000 Section ............... Block ........... ' ·. Lot ............. Subdivision..~.q.e.f..~..n., ..... '.Filed Map No. Lot (Name) ............................. State existing use and occupancy of premi~s ' . '--' ' ............ occupancy of proposed construction: a. Existing use and occupancy .... '....~..~..C.c:LO' · 3. Nature of work (check which ap"llc ....... · .... ' , ' · · --v~ .............. aemoval ,~, . . tuterallon .... ;.. · . . . .~./] .... ..~ ..~...~.:' i.~emont, on ...... ; .......... Other Work ............. 4. Estimated Cost T' /0'0 .~ A ~, ' ' ' (Description ' (to b paid on filing thi pplic tion) 5 lfd Iii numbe ofd Iii units { e sa a · we ng, r we ng .............. Numberofd If garage, number of cars / ,/_~ .. welling units on each floor .... /. 6. If bus' cial or mixed o~ ............................... ' ................ upan y specify natu d tent r h ty;; of';; i ........ 7 mess, commer c c , re an ex o .eac · Dimensions of existing struciures, if any: Front.. ' ............. ~ .... ............. Rear .............. Depth eight ............... Number of Stories ..... i ........... Dimensions 9f same structure, with alterations or additionS: Front ....... .~e~ght ....~ 7..~. .... :.. ~umber of Stories .... .~.....~ ar ..... 'L5 ........ Depth . .-~7. ......... 9. ~zeoflot:Front ... ~3©' ' ~>~ '~5'~'/,'; ....... ' ...................... ': . .. ---.a i~lupuacu construction Violate any zonin, law ~-.~:---' ..... ' ' h'~'-" ' ......................... '13. Will 16t be re raded {~ o .... o ----, ,.J-umancc Or regulation: . iv.o, ................ 15.' Is this ro ert w ', ........v ......... auaress.o.~,v,e..~.f~.L~:Z .... PhoneNo. n30 ' ' · .~ ..... . P P y ithi 0 feet of a tidal wetland9 ,~_ No.~/. · ....... · *If yes, Southol~ Town Trustees Permit may be req~l~;ij''"'' .,., PLOT DIAGRAM Locate clearly and distinctly ~ property lines. Give street and bloc interior or corner lot. ii buildings, Whether existing or Proposed, and, indicate MI set-back dimensions fron~ k number or escnphon according to deed, and show street names and indicate whether STATE OF NEW YORK, ..... above named. , ;.S ag cqntract) ....... being duly sworn, depose9 and says that he is the applicant te is the ". (~ ',~ ~t--..~',f' " " ~ (Contractor agent cori~orate offi~e~ ......................... I , , , etc.) ff said owner or owners, and is dulyi auth, orized to perform or have performed the said work and to'make and file this pplication; that all statements contained m this'application are true to tlie best of his knowledge and belief; and that the york will be performed in the manner ~et forth in the application filed therewith. ;worn to before me this , '. ..... ;47'; ...... ..... , . ~otary Public, 8late of Now York . ....... C.~ ....... ...................... No. 4951364 ..~ ' (Signature of applicant) . Qualified in Suffolk County (~x- "' Commission Expires M~y 22, 19../-...,--' ~Dggt ~Z~ YX~ ~ZOHf ~D / i. ~ ~ ~X~B ~ BE ~L~ BM P~ P~XTXONS, 6 / ) , Ly. o,AlE BUIL~ING CO~ PLUMBER CERTIFICATION ro.~.m~.c.~, OCCUPANCY OR Do Nor If~pper tubing is used ON LEAD CONTENT BEFORE 2. RO~H . ~MING & ~UMBING ~UMBING for wmer distributing CERTIFICATE OF OCCUPANCY ~, ~NSU~O~ ~MBING~ System; pipi.OShallbe 4. "'NAL CO"~TR"CTION ,,,,USE._ UNLAWFUL UNTfL ~nd ~URVEy OF · ,~o, ~o,~o. WITHO~ CERTIFICATE ~s B[E. &~RUN~NE~ of WpesKorLonly SOLDER USED IN WATER ALL CONS~ION SHALL ME~ SUPPLY SYSTEM CA~NOT ,.~ ,~eum~N~S o~ T.~ ,X. OF OCCUPANCY UNDERWRITERS CERTIFICATE STATE CO~TflUCTION & ENERGY REQUIRED EXCEED 2/IO of I% LEAD. CODES. NO~' RESPONSIBLE FOR I l/ / / / L. IHF. or ~F ~Lo~ nH IUl DH--HLII F-ll--I -- I/6 B ¢ VAT olq pLp/AT PORCH DINING KITCHEN ~05 ~3 ~ pLrr. WTl PROVIDE % HR. FIRE RATED SEPARATION TO PART. 717.3 (f) (1) OF N.Y. STATE BUILDING CODE. FoLIblPAT DO ~ BC/~T~ DP~XNGS. D ~8XO#, I J~X B~ AND ~ OP~HZNG8. ?, PROVZDe BItZDGZNG A? #ZD POZN? O~' IPLOOR 3'OT8'~ SPAN OR ~?.t.. I~ZNDO~8 ~"o B~' ACORN NANU~AC'I~II~ UNT.,~SB NO~BD SUMMARY OF TOTAL THERMAL RATING If the Total Thermal Rating is zero (0) or greater, the proposed design for the building envelope compiles with the Energy Code. D1. {)2. O3. £. F. TII[RHAL TABLE AREA U-VALUE RATING USED A. ROOF/CEXLING I~ZqL _~ ~ ~. ~ C. GLAZING BASEHENT/CELLAR WALLS Na11 Perimeter Exposure Above Grade Nall U-Value Oepth of Wall U-Value Below Grade SL~ INSULATION Slab Perimeter Iflsulatlon R-Value INFILTRATION CONTROL Conditioned Floor Area SOUTH FACING GLAZING South Glass/Total Glass Gl, Area/Gross Wall Area Conditioned Floor Area Feet ~..Feet Inches Feet -- Sq. Ft. Percent Sq. Ft. TOTAL THERMAL RATING , PORCH~ DINING KITCHEN