HomeMy WebLinkAbout23935-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Ball
$outhold, N.Y.
CERTIFIC~T~ OF O~:~u~ANCY
NO Z-25160 Date JULY 29, 1997
THIS CERTIFIES that the buildin~ NEW DW~.INO
Location of Property 2370 OABRI~T~ CO~T MATTIT~CK, N.Y.
House No. Street Hamlet
County Tax Map NO. 1000 Section 108 Block 4 Lot 7.49
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated FEBRUARY 19~ 1997 pursuant to which
Building Permit No. 23935-Z dated FEBRUARY 25~ 1997
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 WIT~ FR(F~T PORCH & FINI~u DOi~MER
AS APPLIED FOR.
The certificate is issued to
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-97-O015-J~LY 24, 1997
UNDERWRITERS CERTIFICATE NO. N-422123 - J~NE 9, 1997
PLUMBERS CERTIFICATION DATED J~FNE 3, 1997-WILLIAM DOOLEY
Rev. 1/81
I~OIM NO. ·
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.° 23935 Z
Permission is hereby granted to:
E.L.E. DEVELOPHENT CORP (MURIX)CK)
P.O. BOX 1143
· .CUTCHOGUI[, N.Y. I 1935
S~ORY
tO CONSTRUCT A ~ ~INGL~ FAMILY MLLING AS APPLIED FOR.
at premises located at 2370 GABRIELLA COURT lqAI'~ITUC[, N.Y.
County Tax Map No. 1000 Section 108 Block 4 Lot No. 7.49
pursuant to application dated ........ ..~...B.:...I.9.~ ................................ , 19...9..7..., and approved by the
Building Inspector.
Rev. 6/30/80
Form No. 6
TOWN OF SOUTHOLD
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
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 i% 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 Board Approval ~f completed site plan requirements.
For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and
"pre-existing" land uses:
i. 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. Fees
1.
3.
4.
5.
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.
Certificate of Occupancy on Pre-existinR Buildinm - $100.00
Copy of Certificate of Occupancy - ~ .25~
Updated Certificate of Occupancy - $50.00
Temporary Certificate of Occupancy - Residential $I5.00, Commercial $I5.00
Date ....................................
New Construction ........... Old Or Pre-existing Building .................
Location of Property .... ~.~7.~. ........... .~.~. ~.~...~.~ ...............................
House No. Street Hamlet
Onwer or Owners of Property.. ~..~. ~.-...~/..~.<.~.~./~..~./..~../.. ........~.~.'~../~.. ........................... ..
County Tax Map No I000, Section..../.~..~.. ..... Block .... .~..~. ....... Lot ..... 7'. f~. ...........
...... Piled .... ....
Permit No .............. Date Of Permit .............. Applicant .............................
Health Dept. Approval..~./.~..~ .~.~.~.~..~./..~.. .... Underwriters Approval... /..~.~..~..~.~..-..~.? .......
Planning Board Approval ........................ /
Request for: Temporary Certificate ........... Final Certicate ...........
THE NEW
11~5097
JUNE 09,1997
THIS CERTIFIES THAT
YORK BOARD OF FIRE UNDERWRITERS ACE
BUREAU OF ELECTRICITY
85 JOHN STREET, NEW YORK, NY 10038
/lppllcationNo. on/ife 13658797/97 N 422123
oaly the el~ctrlca~ ~quipment as d~cribed below and introduced by the ~opfl,~mt ~.~d on the above appllc~tlon number in she pr~mis~s of
BARBARA ~,~3RDOCK, GARIELLA CT., HATTI TUCK, N.Y.
in tlw faflowln~ f~c.sion; [] B~.~.~ [] I~ FI. [] 2od FI. ATTIC .~,~t~o. Bilk
was ,xamined o, J~]E 05 , 1997 and found to be in compliance v~tth the National Electrical Code.
EXTUII~
{36 17
23
RANGES
EXHAUST FANS
DO4MSRS
A. W.O. NO. OF HI-LEG
Of CC. CONO
JIM SAGE ELEC. INC.
PO BOX 38
GREENPORT, NY, 11944-~38
LIC.#3636
Per 11 '
certifkate must not be altered in any manner; return to the office of the Board if inco~'rect Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Town Hall, 53095 Main Road
P. O. Box 1179
Southold, New Yod4 11971
Fax (516) 765-1823
Telephone (516) 765-1802
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
Owner:
(please print)
Plumber:
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
Notary Public,
LW~M
No. O1B~
, 19
County
O~-N--E~-~ STREET ~_ ~ "7' ~) VILLAGE ~)~ SUB. LOT '~
TYPE OF BLD.
' '-k~ '~ ' PROP. C~SS
LANO IMPl TOTAL OATE
FRONTAGE ON WATER TILLABLE
FRONTAGE ON ROAD WOODLAND
............. MEADOWLANDY
DEPTH
BULKHEAD HOUSE/LOT
TOTAL
COLOR
TRIM
M. Bldg, Foundation ~,c Bath Dinette
CB
Extension Basement C.AWt Floors Kit.
SLAB
Extension Ext. Walls Interior Finish LR.
Extension Fire Place Heat D.R.
Patio Woodstove BR.
Porch Dormer Fin. B.
Deck Attic
Breezeway Booms 1st Floor
Garage Driveway Rooms 2nd Floor
QEL
Pool
HOBART ROAD / PO Box 616
h
$~¥~LD, ~ ¥~ ~ ~97~
516-765-2954
Date: July 18, 1997
Reference: Elijah Lane
Building Department
Southold Town
Main Road
Southold, NY 11971
Dear Sir,
I inspected unit # 3 at Elijah Land Development. The changes to the second floor dormers
are in accordance with New York State Code and common practice.
Joseph Fische~i, P.E.
765-1~02
BUILDING DEPT.
INSPECTION
[ ~] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS.' ~
765-1~02
BUILDING DEPT.
INSPECTION
[. ~/OUNDATION 1ST
[ ~ FOUNDATION 2ND
[ ] FRAMING [
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] INSULATION
] FINAL
76S-~.8e2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 'IST [~ROUGH PLBG.
].~,QUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
R .EM~KS:
INSPECTOR
765-1~02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ .~OUGH PLBG.
[ ] FOUNDATION 2ND [~"] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & C/I~'IIMNEY
REMARKS:
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [~/~FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
DATE ~/~ '~ INSPECTOR ~~//~
765-1882
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] FIREPLACE & CHIMNEY
[ ] ROUGH PLBG.
[ ] I~NSULATION. ~
[~/~/FINAL~~/~
REMARKS:
INSPECTOR
STATE ENERC~'
FINAL
ADDITIONAL COI'~ENTS:
Joseph Fischetti
PROFESSIONAL ENGINEER
HOBART ROAD / PO Box 616 SOUTHOLD, NEW YORK 11971 516-765-2954
Date:
Reference:
March 21, 1997
Elijah Lane Estates
Southold Building Department
Main Road
Southold, NY 11971
Dear Sir,
~ Please be advised that I have inspected the foundation damproofing, for the homes on
lo~32, lot #8. lot #20 & lot #22 and have found them completed in accordance with standard
practice and satisfactory for backfilling.
Joseph Fische~i, P.E.
I"OP, I~I H(). I
TOWN ()1~ s0lrl'll01.1!
IHJ I l.l) I N(; I)I~I'AI~,'I'MI~.HT
TOWN IIAI.I.
SOII'I'IIOI.I), N.Y. 1191 I
'fEi,: '/65- 11102
l)i:NIwr~,ved nJc ..................................
^I]I'I.IC^'I'ION FOR BIJII.I)iNC, PI~.RH1T
l NS'I'IH]CT I ()NS
] SI~'I'S OF PI,ANS ''~" ' .....
$U1(¥1~¥ ........................
(;IIKCK ........... ~ ...........
SEI'TIC. FORtI . . ..~. ..............
l)nte ................ , 19 ....
'} sols of i)lnim. ~(:curnte plot: i}ln,, I.o scale, l~ nccording to nch~iule.
I). Plot: ph, I {dK~iiil~ I(~at:i{xl of lot niKl O[ Ixlildil~.
~;I [{~(~IB Or lI[ell~, nlxJ Rivi,~ . (~{~lJJ.~] ~.cril}t i{s} o[ Ja~xil: o[ l.'O~rly .Iisi' I~ (Iraqi ~1 Ilie diag,'.. ~,ich i. l~lrl of
I h i ~ nppI J (:;il:
e. 'lhe x~}~k c(~r~l by Lhi~ alq}li¢nl:ion ,,n~ ~}L
ii. lllxS, al~al o[ this alqHi¢aLion, the Ihiihlil~K h~sl~{:l:or x.HII JBBIe a I~}Jldi.g PelmJL lo the -[q}JJ{:aiit. S~mh
lx~n. i l ~:hnll I~] kepi: {xl lie pranJses availahle for insl~ctj(xl
e. ~ I~iihling ~Jmll le {r~piel or tirol in ~.}le or ill I~ql'l
Al'lq.l(~'l'l~ lS IEI~I~ [Wi& {o tie Ih~Jhlii~g I~l~[l;~llL for Ihe ism~am-e of a 'l~}JJ(lin8 PelmJ~ pirmimll: Io IlJe
Ihiihlin8 7~.~] Ordii~.~:e oF the '1~.~ of ~llhohl, r. iffolk ()~i~l~,
~scril~.l. '11~ JllJlJl icnilL .~l-~ Io ca,~Hy ~Jth nil nl~lic.I}le I~s. or{lil~m.:e~, J~lJJJlJn~ cmle, I.~sing c~le, {.~1
(N~,,l? :.~1 till(_, of COrl~)rnle officer)
........... Otlle~ TA~mk .,
fee
(Io I~: I.~id ~n I:il in8 Ihi~ ~Ppl ic.t ion)
(July :*'~)riJ, (](~lxl,,io,,t iltxl Ilily,,l Ill;ltl ho J:l II)e,' hi)id
CLAIRE L. GLEW
Notary Public, Stat(,~ of New York
No. 487gh05
Qualifi~-.-d iii Suit:(~k County
( Appl i(:anl ) ....
0
SURVEY OF
LOT $
"ELIJAI:IS LANE ESTATES, SECT. 3
A T MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N ~
looo - loa - 04 - PlO
Scale: I" = 40'
Dec. 4, 1996
AREA = 40,827 sq ft. ~
~ ~cr~ 7E09 ~ r~ ~ Y~ STA~ ~ ~, AND CONSTRUCTION OF SUBSURFACE SEWAGE shown hereon ~re from f/eld observoflons ~ N.Y.& L
EX.PT AS ~ ~C~ 7~~ ~. ALL ~T~ DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES and or from d~fo ohio/ned from others. ~
~ A~ WL~ F~ T~ ~ ~ C~$ ~ ~ Y ~y ~d WSI ~i~ by the conditions set forth therein eed on the ~ECONIC ~URVEYO~,~ ~'
s~D ~ ~ c~s ~AR T~ ~ ~ ~ ~ ~ ~ (516) 765 - 50~0 ~- ~ ,~
~OSE ~ ~EARS ~. peril 1o conslrucL P. O. BOX 909 STRE~~ . ~
A~T~LLY TO C~LY ~TH SA~ LAW T~ T~ 'AL~ BY' ELEVAT~ ARE ~~ 1230 TRAVELER ~
~$T ~ U~ BY ANY ~ ALL ~S U~I~_~._ TO AN AS~ DAT~ SOUTHOLD~ N.Y. 119XI
· BRO~HT-TO-DATE' A~ ~T ~ C~ ~T~ ~ LA~.
~~ 96
SURVEY OF
, LOT 3
~%o. .,~ "ELIJAHS LA~ ESTATES,
A T MA TTITUCK
AREA = 40,827 sq. ft.
ANY AL TERR TION OR ADDITION TO THIS SURVEY IS A VIOLATION
OF ~CTION ?~09 OF THE NEFf Y~ 8rATE ED~ T~ LA~
EXC~T A~ ~ ~CT~ ~09-~ ~. ALL
~ A~ VAL~ F~ T~ ~P A~ C~S T~
~ ~P ~ C~S ~AR ~ ~D ~AL ~ T~ S~VEY~
~ ~A T~ A~ARS ~ON.
ADOITIONALL Y FO COMPLY WITH SAID LAW THE TERM 'ALTERED BY'
MUST BE USED BY ANY Ah~ ALL SURVEYORS UTILIZIN~ A COPY
OF ANOTHER SURVEYOR'S M~P. TERMS SUCll AS ~CTED° AND
'BROUgHT-TO-DATE° ARE NOT IN COMPLIANCE WITH THE LAW.
I om femlllor wilh lhe STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SELVAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will =bide by lhe conditions se/ forth therein and on the
permil 1o construct.
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N K
1000 - 108 - 04 - P/O Z 1
Scale: 1" = 40'
Dec. 4, 1996
Mar. 14, 1997 (foundation
The local/ohs o! wells and cesspools
shown hereon ere from field observoh'ons
o~d or /rom data obtained from others.
ELEVATIONS ARE REFERENCED
TO AN ASSUMED DA TUM.
c. LIC. NO. 496i8
SOUTHOLD, N. Y. 119XI
96-317 3
SCDHS. Ref.. # R10-97-'0015
L
AREA = 40,827 sq ft.
0
ANY AL TEA4 TION OR ADDITION TO THIS SURVEY IS A VIOLA TION
KW AS PER SECTION 7~09-E~.I~OIVINON g. ALL CERTIFICATIONS
HEREON ARE VALID FOR THI~ MAP AND COPIES THEREOF ONLY ~'
SAID MAP OR COPIES BEAR THE IMPRESSED 5~EAL OF' THE SURVEYOR
F/HOSE SIENA TURE APPEARS HEREON.
ADDITIONALLY TO COMPLY IFITH SAID LAF/ THE TERM 'AL TERED BY'
MUST BE USED 8Y ANY AND ALL SURVEYORS UTILIZIN6 A COPY
OF' ANOTHER SURVEYOR'S MAp. TERM~ SUCtl AS 'INSPECTED° AND
'BROUGHT-TO-DATE' ARE NOT IN COMPLIANCE FILTH THE LAW.
0
I am familiar wit# the STANDARDS FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMILY RESIDENCES
and will obide by the conditions sol forfh fhereln oed on lite
permlf fo consfrucL
-%
SURVEY OF
LOT 3
"ELIJAIJIS LANE ESTATES, SECT. 3
A T MA TTITUCK
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N Y.
1000 - 108 = 04 -P/O Z 1
Scale: 1" = 40'
Dec. 4, 1996
Mot. 14, 1997 (toundotion
May 13, 1997 (final)
The IocoIIons of we/is end cesspools
shown hereon ore from fleM observoffons
o~d or from dofo obloined from ofhers.
~ \ .j. ..I
PECO~ S~VEYORS~ P.C.
(516) 765 ' 50~0
P. O. BOX 909
IS30 TRAVELER STREET
SOUTHOLD~ N. Y. 11971
96-317 3
13ultoele- CO.S RUCtlON NOTE
1. All construction work sheil comedy wil~
Cen~t~n~ C~e and W~
~ ~e~ as the r~U~emen~
2.
,8.
Ail WOrk shall oompty with the N~w York $~ate Energ~ Code
a. It shaft be ~he ¢~ntrac~er~s relPepatbifRV to s~m~:~ size:~ign a~
~ w~l.~ used ~.~[~ detail as
~.of ~
c, All w~ ~ ~ ~c. ~1 be.~ a~
Pmv~ ~ ~t~ ~t m ~
design or insflll~tlon of m~tmiele and ee~pment: Elect~al, Idumbb~
he.g. ~tila~,'.~r ,~ or any
in ~e drawi~s;
Ele~Hc ~n~r~on ~ ~ ~fe~ ~ ~e N~al Eles~c ~e; N~w York
StYe ~i~i~ Code, a~
~umbi~g is to co~o[m to
mquffeme~ ~ ~S
CODE COMPL4ANCE .
~lUal to 8% of fl~or ~.
Venlllm~n Requirements
a. Habitable apace except kR~ens an'd bathrooms shall have natural
~ ven~laflon equal to 4% of floor area, or mechanical rent,orion
providing two (2} a~r changes per hoar.
b. Kitchen~ as above',, or 150 dm mechanical ventilation
c. Bathrooms as above or 2G cfm mechanical ventilation
d. Ali fans shall exhaust directly to exterior
Secondary exits {windowsl shall be 4 square foot minimum with a minimum
dimension of 18: and a maximum sill height ef 42 ' above fin shed.floor.
Stairwells ,~hall be 36" width minimum, 2' -8" clea~
CARPENTRY
1. Framing Douglax Fir ~2 or betto~
PROVIDE 3h HR. FIRE
RATED SEPARATION TO
PART. 717.3 (f) (1) OF
N.Y. STATE BUILDING CODE.
PROVIDE OPENINGS FOR
EMERGENCY ESCAPE AS
REQUIRED BY PART. 714 OF
N,Y. STATE nUiLDJNG CODE.
NEW YORK'STATE-ENERGY
CO~SERVAff!ON CONSTRUCTION C°DE
pA~T 6 COMPLlfiNCE FORM
Building design by Thermal l~tinil M~thod
O~ ~d T~ U~t Dwefl~gs
BuildlnE Address
En~ or ~t~: Jo~ Fi~ P.E.
eo,. lk
phone: 516-765-2954
L HEATING DEOREE DAYS (T~Ie 2-1)
[~8000 [--19000
H. BLrR~ING DESCPdPTION
RL PRO~ECT TYPE
~] New Comtmctlo~
F-I Scbstantial renovation of Existlag BMlding
r-l A~difion to e~isting Building r~E~cmpt (78106¢)
IV HF~T~IG SYSTEM TYPE
[] 0~ Fired [~ Oil Fired [] Heat P~ap [] Electric
SUMMARY OF THERMAL RATING
U-VALUE TABLE
USED
A. WALL ASSEMBLY
A 1 Net Walls
Aw ?9 L Uw
Aw _-~r~- Uw
~ Do~ Aa qZ ug _
Subtotal Thermal Rating for Section A
= 73 .
6-1
6-1
6-1
(A+A2+A3) = (+//9)
B, ROOF/CEILING ASSEMBLY
2. Sill Plates to be 2X6 Treated 40 ~CCA with sill seale~
Pro'vide double heedemancltziml~all~[airamLflp~tepmtlngs''~fldernll PLUMeF. nCEnr/F/C. AT/ON
OCCUPANCY OR
ONLEADCONTEN'I'aEFORE USE IS
UNLAWFUL
posts and partitions rmml~ I~zMIl~'to same. Ref¢~ tO t~an CERTIFICATE OF OCCUPANCY
4. ,o idob,dg. ror.,flo to' . soz nusEo/nwAr n WITHOUT CERTIFICATE
Provide solid blo~king under at!
Openings to have to 12) 2"x10".~
Su~tural ~a[ c~neot~s ~ f~U~s:f~ ~l'f~ stm~1:1~ qa~
co~itions
Strength 3,000 PS1, ~t 28 de/AS~M C-9~'~ea9¥ mix cen~,eto
ContractOr slaeV conduct ~il test to verg~ beaong capaoity prior to
cons~Ctl0n and'report any discrepancy to Engi~eqr
All footings, foundatTon~ etc, ahali-~est'on undistu~bad sell. qa;ro L~ ~eft~ fleAF:tH;*
Footings shall be 36 ' balow firgsbed grade n~imum
Ar. ] Ur 6-3 = ~
B2 Skyligtas Aq Uq
SUPPLYSY~TEMOINNOT OF OCCUPANCY Subtotat Thermal Rating for SectionB (BI + B2 ) = (-~)
EXCEED 2/10 OF I% LEAD.
APPROVED AS ~IOTEO C. ENTER DATA AS APPLICABEE (EITHER el, C2, C3 )
PLUMBING
DATE:
ALLPLUMBINGWA6¥~ FEE: qOl,C~O NY:~ C2 Fo~iionWalt = ~~/...~.~
&WATERUNESNEED NOTIFY BUILDING DEPART~IENT A wag~l~a~'l~r ' fl /
TESTtNG BRFogE COVERING ?~[-~8o:: B A~ TO 4 PM FOR THE Abo~,eCmid~ Exposur~
FOR POURED CONCRETE ~ 84" T3 FOoting ~.
If copper tubing Is used 2. ROUGH - FRAMING & PLUMBING
for water disuibuting 3. INSU~TION _ ,
ofwpesKorLonly ALL CONSTRUCTION SHALL MEET
STATE CONSTRUCTION & ENERGY ~
~NDE~ CERflFI~TE DESIGN OR CONSTRUGTIOH ERRORS
BO NOT P~OOEEB WITH
FRAMING UNTIL SURVEY
OF FOUNDATION LOCATION
HAS BEEN APPROVED.
i
¸'7
J
' 'i
'1
PO~C~