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HomeMy WebLinkAbout27366-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28351 Date: 04/19/02 THIS CERTIFIES that the building ADDITION Location of Property: 68835 CR 48 GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 33 Block 5 Lot 15 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 14, 2001 pursuant to which Building Permit No. 27366-Z dated JUNE 7, 2001 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 "AS BUILT" PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. STRUCTURE CERTIFIED BY ENGINEER. The certificate is issued to MAX G & MARIEL DOBLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H 070708 02/26/01 PLUMBERS CERTIFICATION DATED N/A Authorized Signature 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. 27366 Z Date JUNE 7, 2001 Permission is hereby granted to: JEAN MISURACA 68835 CR 48 GREENPORT,NY 11944 for AS BUILT PORCH ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 68835 CR 48 GREENPORT County Tax Map No. 473889 Section 033 Block 0005 Lot No. 015 pursuant to application dated FEBRUARY 14, 2001 and approved by the Building Inspector. Fee $ 75 . 00 Authorized Signature COPY Rev. 2/19/98 pit AY Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 r PLICATION 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 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 Board Approval of completed site plan requirements. B. 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. 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00,Commercial$15.00 Date. Ig PR . �. ! - X403 New Construction: Old or Pre-e 'sting Building: l/ (check one) Location of Pro erty: b 2/h KAA pc n—l r House No. Street Hamlet Owner or Owners of Property: 9p>( E. AQi GCS Suffolk County Tax Map No 1000, Section 033 Block D 0-0 Lot 01 Subdivision Filed Map. Lot: Permit No. 3�� Date of Permit. 9/_0 I Applicant:tf1 b Health Dept.Approval: t / Underwriters Approval: Planning Board Approval: t/ Request for: Temporary Certificate Final Certificate: V (check one) Fee Sub ted: $ JI" d A plicant Signature 80829G7 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK,,NY 10038 FEBRUARY 26,20-01 20►01 <,s 0'K' ? 1 .i If 070708 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of :.TEAK & JOSEPH MISUR.ACA, 68835 NORTH ROAD, GREENPORT; nj`_` in the following location• ❑ Basement E31st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on FEBRUARY 20,200-1 and found to be in compliance with the National Electrical Code. . FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENJ FLUORESCENT OTHER AMT. I K.W. I AMT. K.W. AMT. I K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL N.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP. 102W 1 0 3W 9 0 3W 7 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: *NO VISUAL DEFECTS: "An electrical survey has been made of the exposed electrical equipment in the Premises indicated. " "No obvious unsatisfactory condition was found. JERK HISURACA ( L 68835 NORTH ROAD RT.48 GREENPORT, NY, 11944 GENERAL MANAGER 11 Per This certificate must not be altered 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. BUILDING PERMIT REVIEW CHECK LIST DATE REVIEWED: 6 APPLICANT NAME: i30C-4Cef DATESUBMITTED: 2 //f bl SCTM# --- DISTRICT: 1,000 SECTION: 43 BLOCK: S LOT: PROJECT LOCATION STREET: 688 oetTy /O'Alz CITY: 6;,0'0 SUBDIV. NAME: ARCHITECT/ENGINEER: FAST TRACK: YES SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES OR NO NOTES: ZONING: PERMIT [MATE AMOUNT:_$ J,�K - .00 ZONING DISTRICT: 4 R80 AC CONFORMING: YES oRQ REQUIRED LOT SIZE: gO SQ: WHERE ACTUAL LOT SIZE FROM?TAx CARD w ve,, ACTUAL LOT SIZE:10 24 SC REQUIRED REQUIRED REQUIRED FRONT:' PROPOSED:,c! SIDE YD: 0_'/�' PROPOSED:P'/ REAR: 'PROPOSED:' LOT COVERAGE: ALLOWED: ' 6 % EXISTING: sf % NEW: sf % TOTAL' ' `Io sf CORNER? YES oR/Nq WAT ER FRONT? YES o O DESCRIPTION: LOTS 40,000SF--100-24. Lot recognition. (CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger. (A nonconforming at any time after July 1, 1983.) PROJECT DESCRIPTION: ADD [, IACC OR N/D: 6a,'Y AGENCY PERMITS REQUIRED FOR REVIEW NEEDEa TOWN SPETIC PERMIT: YES o SUFFOLK COUNTY HEALTH DEPT: YES or O (BED #): DTE:—/ / PERMIT#:R10- NEW YORK STATE DEC: PRE-DEC 9/1/75 YES o SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES of FLOOD COMPLIANCE ZONE: PRE-FIRM 3/18/80 PANEL #: 214; FLOOD ZONE:_, NYS ENMs Y: YES O O SS: VENT: LIGHT: ---,5/ NOTES: ori cs �s is �- FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR / SF SECOND FLR SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE TOT( SF)- ( SF)= SFX $ =$ +$ +$ _ $�j� T65-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS LIZ/,::; ,DATE Coy O INSPECTO �iz'� BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] SOLATION [ J FRAMING / ':%�fl�NAI- [ ] FIREPLACE & CHIMNEY REMARKS: b DATE7��v IN8PECT0 FIELD INSPECTION REPORT DATE 3.� COMMENTS W H FOUNDATION ( IST)' — FOUNDATION 1ST)FOUNDATION (2ND) N I� II II � oz ROUGH FRAME & N op N �A1 PLUMBING (� TV INSULATION PER N. Y. ! ' STATE ENERGY v2 CODE H. + FINAL M -- - --------I----�.=-sem---- __-- - ADDITIONAL COMMENTS: - r-v s �•Y,S� r �P �v lvwiv yr but)inf '' 1 °7� � ': t: 13UlL1.)INU1JhX-M11 A1?U(:A1'1UN (.;hECKL15 BUILDING DEPAR Do you have or need the following,before applying TOWN HALL l �`�� Board of Health SOUTHOLD, NY 1 I Of 3 sets of Building Plans TEL: 765-1802 -=i � w `" Survey To,--0-t'. Check Septic Form N.Y.S.D.E.C. Trustees Examined C , 20pj Contact: Approved 6�j , 20AL_ Mail to: Disapproved a/c Phone: 2 S2 S Z - i2 oB.*c T v '/��/,.v Building Inspector APPLICATION FOR BUILDING PERMIT Date fif'a1 l' , 20 v/ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and 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 streets or areas, and waterways. - c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issue a Building Permit to the applicant. Such a 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 what-so-ever until a Certificate of Occupan is issued by 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-Southold, Suffolk County,New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions,onalterations or for removal Dr 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 in building foe necessary inspections. (Signature of applicant or name, if a corporation) �r (Mailin address of applicant) State whether applicant is owner, lessee, agent, 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 of duly authorized officer (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: &WJ1AA0 A ,,. House Number Street Hamlet ' .A VRu J ok;owa ni 03' ;'rcl O County Tax Map No. 1000 Section 33 Block 15' ' Lot.� /,6- Subdivision Filed Map No. Lot (Name) - -a-- F-Aizt,iig dbr; anu occupancy of premises and intended use and occupancy of proposed construction: Y a. Existing use and occupancy �,tzf,D•�--�:� b. Intended use and occupancy /LAS•a.�- ' I. Nature of work (check which applicable): New Building Addition_ ,,,*— AlterationRe air Removal Demolition Other Work 1. Estimated Cost (Description) � liau Fee �7S o If dwelling, number of dwellingunits (to be paid on filing this application) Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front_ Rea'---,g,;? Depth ¢d Height Z�' Number of Stories 2 Dimensions of same structure with alterations or additions: Front Rear Depth 15-01, Height S'4-%' Number of Stories ;2- 400 Dimensions 400Dimensions of entire new construction: Front /9 4 q" Rear /9�-9'" Depth Height 121 Number of Stories ,i Size of lot: Front ,12C . 6' Rear_ ZzL � Depth 0. Date of Purchase 4yG�/ Name of Former OwnerGi,�ify,rt 1. Zone or use district in which premises are situated 2. Does proposed construction violate any zoning law, ordinance or regulation: i 3. Will lot be re-graded A"-® Will excess fill be removed from premises: YES NO JvS,tolt4--0 ?.ae-a. 6Aa /I-,-�l 4. Names of Owner of premisesdV_&&&&K. ,¢ Address Phone No. 1< —-2 66 kl Name of chitect .t,/„,$ o . Address tea, 1Phone No_Z--9 -I 2 Name ��ntrac or Address _Phone No. v 5. Is this property within 100 feet of a tidal wetland? *YES NO &,� • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK) SS: 'OUNTY OF� being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract)above named, i)lie is the (Contractor, Agent, Corporate Officer, etc.) f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be �-rformed in the manner set forth in the application filed therewith. worn to before me this day of 20© f Notary Public ANNA CARLaVO Signa ure of Applicant %Myft 0 018746 VA SuRwy OF DESCRIBED PROPERTY S/TUAT GREENPORT, TOWN OF SOUTHOLD SUFFOLK. COUNTY, N. Y. MAP OF EASTERN SHORES SURVEYED FOR MAX 0. DOBLER MARI£L DOBLER LOT 36 LOT 35 N 68' 1 ' 40" E 1 46 (13o'oEEol FrNce ' V 2 '� V v rn � rV. � W Q N/F TASKER N/F ELFTHERIOS fn a►I p o.J'18.2 FRAME N/F PAPPAS w GARAGE19.2 iCK waw lu�w?Z., ap►owon PA�'0 1_ K Ma�Asav v aaICmppol d `q`f R K n+wK 10YVAR LA 2 STOR Ipwvwn,•,,,,,n,►Mw4W FRAME �. T /! XC9 = RES n 4 . L �. ct wwo r PALL ori Show= JI ocrowt "w ` fCALC I.10' riE=48Gt82' t c AWA - 04=0092W WOW '� S rau 77' 57' JON W ►.�;,r NOR Ty ROA lJ CR 48 TAX ANAP N0, SURVEYED BY 1000-033-05-15 STANLEY J, ISA KSEN, JR. P.O. R OX 2.94 NEW SUFFOLK, NY 1 56 6 j--734-583 GUARANTEED TO MAX G. DOBLER _ MARIEL DOBLER /CEN LAND 5 VEYOR FIDELI TY NA 17ONAL TITLE INS. CO. NYS /C. NO. 49273 0OR949 IS/70 /9'4vo NE -- FIT h e+. ti ` Nk . y AWOIVI 1019W, ef�AoO/✓ 0 LEi,yO s� `G� �►. LCA 9` O p Ju�vErEO F�cte• ✓4✓E•ois�✓. ✓E.9N /YI/.�U.P�q�.4 * = V �►" LO�T/1.7�Y• �iQ66rN/�7C1 O;IWAgYX e'a-' '-X /V'> acs 'K Clv9.PA/Y1��O To• �s.P�Ei✓f}viYl�r�rl,8is�iY�/Q�/� �s; .4 6 Tip s,�9•9sr.+�.�� �, �F 3 6 s �, p P SKE0 Or of W YO L�✓O �vPI�X-7�2 •/"'=60 ' -__ROBERT O'BRIEN P.E. CONSULTING ENGINEERING SERVICES 2074 MAIN ROAD, P.O. BOX 456, LAUREL, NY 1 1 948 631-298-5252 April 6, 2002 Southold Town Building Department Town Hall Southold, New York 11971 Permit No. 273661 Porch Addition -- Misuraca Residence 68835 North Road, Route 48 Greenport, NY 11944 Gentlemen: I hereby certify that the as-built drawings for the above-captioned residence porch addition, dated 2/1/01, to the best of my knowledge, belief and professional judg- ment, are in compliance with the New York State Building and South Town Codes. Very truly yours, OF NE►y CD F ar Robert O'Brien P. E. 0 i 2.10 �sslotA AIX , y oma, - �1/ /te'CYCs'l.Ltd ' A /'j SAC �+1.•r tSS s�5 it C G+-v i cPL�, ',� 7 �J lSTl- - j 1 A"RNED AS NOTED I E� ES U `r gg gg A L ( OAS a a B.P.# 273�C �� .. � r �"�Ic.�l,.l � ER�w � ' }�� ray 1 BUILDING DEPARTnFORTH 1 j�7y7�-1802 9 AM TO 4 NS .- ?SOWING INSPECT OI 1, FOUNDATION - TWO REQUIRE : ♦ • FOR POURED CONCRETE UNDERWRITERS CERTIFlCATE REQUIRED 'Z. ROUO H - FRAMR:3 & PLUMBIN � S. INSULATION T U - 4: FINAL - CONSTRUCTION M i 1 INF COMPLETE FOR C.O. .2ALL CONSTRUCTION�AAIT-� --"" _ THE REQUIREMENTS OF THE N- I ; WATE CONSTRUCTION & ENERC Y J CODES. NOT RESPONSIBLE F h - - 0MGN OR CONSTRUCTION ERR f- PROVIDE OPENINGS FOR I ' - x 0 G - - - EMERGENCY ESCAPE AS n REQUIRED BY PART. 714 OF. _ N.Y; STATE BUILDING CODE. 3R 7 'of O 052� // it.D.O�//u,✓' RCFES�t7NP� o r_ a o. SEgLQ � y - i Q TH,E'BEST OF MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT, _ _IjIESE PLANS ARE IN COMPLIANCE WITH THE NEW YORK STATE BUILDING CODE. r i i i H P i NIV ! Ap 1 i �_� � � Ttl /o ry !avc I tJ T A2 s�I.'Ly Cd,�c. 1 l M OF _ 7 a r �s o ��� ,�';�,EY ?r—/40A/ �r r leg, 05:2 y f MY KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT, sc Al P 110 /0/ HE ARE IN COMPLIANCE WITH THE NEW YORK STATE BUILDING CODE. iI I I I I J I 41 '00I r I j j 7L 7 L I i I I II ; z y I 12 �'o.c Ga d I ' IT I a 0 105 R r 4'8 G 4,F se-V A&'4'7 A,,,•y B QWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT, �S NSA t -COMPLIANCE WITH THE NEW YORK STATE BUILDING CODE. s�-+�►f : r.�-r l�o /ai I _I i i ' I i I i t I I i _ I r r i i; 1 E F(N't y vo A'4 .e-.y . KNOWLEDGE, BELIEF AND PROFESSIONAL JUDGMENT, Xe-.v[s h" _ //'r o/ c J, IN COMPLIANCE WITH THE NEW YORK STATE BUILDING CODE. II Z 1 + y 6 �',^ �,` '!�; �+�1��dnti+nftkl,.k "t•a o`G. bwrxbd 1e fry�n f..' -,• j i .rte"`.'"` �y • - - North Elevation As-built Porch Addition Photo date: January 26, 2001 Misuraca Residence 68835 North Road, Route 48 Greenport 11944 �^ ,�. ` � a /'4.,w�' •. 7fOw INK ` t h c � y i v # Ai r East Elevation As-built Porch Addition Photo date: January 26, 2001 Misuraca Residence 68835 North Road, Route 48 Greenport 11944 g a S y r . 04 Y NI"3'tt -� � iYM,'fir..1G f. � \• a West Elevation As-built Porch Addition Photo date- January 26, 2001 Misuraca Residence 68835 North Road, Route 48 Greenport 11944