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HomeMy WebLinkAbout26852-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28521 Date: 06/17/02 T~IS CERTIFIES that the building ALTERATION Location of Property: 765 CEDARFIELDS DR GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 40 Block 5 Lot 1.19 Subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated JI/NE 2, 2000 pursuant to which Building Permit No. 26852-Z dated OCTOBER 20, 2000 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 SECOND FLOOR ALTER3~TION TO AN EXISTING ONE FD24ILY DWELLING AS APPLIED FOR. ·"ne certificate is issued to KAREN & ANTHOhIY J FIORVANTE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMEI~T OF }~5~{ ~kPPROVAL ELEt-I'~ICAL c~TIFICATE NO. PL~q~BERS CF~TI FI CATION DA'r~o 04 / 16 / 02 Rev. 1/81 N/A PENDING 06/14/02 MATTITUCK PLUMBING & HEAT /ignature 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. 26852 Z Date OCTOBER 20, 2000 Permission is hereby granted to: KAREN FIORVANTE 765 CSDARFIELDS ER GR~NPORT,NY 11944 for : ALTERATION OF 2ND FLOOR IN AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at prem/ses located at 765 County Tax Map No. ~73889 Section 040 pursuant to application dated JLrNE Building Inspector. CEDARFiELDS DR GREENPORT Block 0005 Lot No. 001.019 2, 2000 and approved by the Fee $ 80.00 Authorized Signature Rev. 2/19/98 COPY Form No. 6 TOXVN OF SOUTHOLD BUILD1NG DEPARTMENT TOV~N HALL APPLICATION FOR CERTIFICATE OF OCCUPanCy ' This application must be filled in by typewriter or ink and submitted to the Building D~ 'parCaent xvlth the fo![~ow_,~g: l. Final survey of property with accurate location of all buildings, property lines; 'streets, and unusual natural o topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Appro4al 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. Ifa Certificate of Ocoupaney 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 New Construction: Location of Property: '-/b ~; House No. Owner or Owners of Property: tt~"~q Suffolk County Tax Map No 1000, Section Subdivision 07'~ ~ ~?A~2. F t El.--3:;' Date. Old or Pre-existing Building: / (check one) PermitNo. ~.b~5'2-'7-- DateofPermit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fe~ Submitted: $ Street Hamlet Block Filed Map. O0 Applicant: Underwriters Approyal: Lot l, ~ Lot: Final Certificate: (check one) Ap~t~e~t Signature ~ Town H~311. 5,30tiff Mai. Rood P. o. Rex 1179 ~mdl,ol,I. H~w York t 1971 (516) OFFICE OF'filE BUILDING IblSPECTOF{ TOWtJ OF SOUTIIOLL) i certify Ulat [ho so]der used in the w~tter SUl-,P].¥ sy,.;tem contains lOs~ t:han 2/10 of J% lead. sworn to before me thl,~ /&,. day of ~ ,ol~)oO ..... "' ~..1~ )~/~ . ......... ,-. Notary .... Publlc~ ~ C.~ ~ty BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS, BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by MICHAEL J. HURLEY ANTHONY J.& KAREN E FIORVANTIS 9905 NASSAU PT. RD. 765 LEDERFIELDS DRIVE COTCHOGUE, NY 11935, GREENPORT, VILL, NY 11944 Located at 765 LEDERFIELDS DRIVE GREENPORT, VILL, NY 11944 Application Number: 1056386 Certificate Number: 1056386 S~gction: Block: Lot: Building Permit:_ BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wirin§~ descdbed below, located in/on the premises at: Second Floor, ' :i Was inspected in accordance with the National £1ectdcal Code and the detail of the installation, as set forth Below, w~ found to be in compliance therewith on the 14t~ Day of Jm~e, 2002. ,, Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 4 0 Smoke W{ring and Devices Receptacle 19 0 General Purpose Switch 10 0 General Purpose Fixtm-e 5 0 Incandescent , Paddle Fan 3 0 Dinm~ers 1 0 seal I of I I' This certificate may not be aRered in any way and is validated only by the presence of a raised seal at the location indicated. MIDDLE ROAD (C. R. 48) 792.24' SURVEY OF L 0 T ,19 SUBDIVISION OF CEDARFIELDS FILED JUNE 27, IggO FI~E NO. 8966 A T GREENPORT TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 40 - 05 - P/001 Scale 1" = 30' July 11, 1990 July 27, 1990(found. loc.) Nov. I~ ~llO(fa~) H. ,,~ REF. NO. AREA = 20,115 sq. ft. t.4x 04~ BUFFER LOT 1(~ LOT ~ I \~-: ,~ '~ '- /J [ TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER LAND IMP. g700 STREET ACR. ', TYPE OF BLD. PROP. TOT. ALI DATE ~' :),d> FRONTAGE ON WATER FRONTAGE ON ROAD DEPTH BULKHEAD :~)ILLAB~.,F-o , z~?v~ %[ ~-":'~: w6oDLAND MEADOWLAND HOUSE/LOT TOTAL £'~0 It: ENERGY CODE CALCULATIONS SUBSYSTEM Non-Electric Ileat) ExterJ. o,: Walis (Opaque) Design Criteria PER: 6,000 Degree' Days O.A. 10°F I.A. 70°F DES IGN TIIE ILMEL AREA "U" Glazing /~_ % Doors Ceiliug/R~3of (Opaque) skylights % [" loor Foundation Walls Slab Insulation REMARKS Ih%TING 0 Hutes: l]uildlng Envelope Systems to meet requirements of 7015.2 HVAC Equipement to meet requirements of 7~15.11 IIVAC Systems ~o meet requirements of 7815.r2 Duct Systems to meet requirements of 7~].5.13 Ventilations Systems to meet requirements of 7U15.14 insulation of Piping Systems to meet requirements of 7~15.15 Service Water lleating Systems & Equipment to meet requirements o~ 7~15.21 Electrical & Lighting Systems & Equipment to meet requirements of 7~].5.3[ To the best of my knowledge, belief, & professional judgement, these plans are compliance wlti~ the code. BUILDING PERMIT REVIEW CHECK LIST APPLICANT NAME: DATE REVIEWED: /o/6' /od DATE SUBMITTED: ~ PROJECT LOCATION ,-, ARCHITECT / ENGINEER: SCTM#--- DISTRICT: 1,000 SECTION: CITY: Gr~.s~-'J~ SUBDIV. NAME: FAST TRACK: YES o~ BLOCK: ~' LOT: )- !~ ZONING DISTRICT: R40, R80, AC, ONFORMIN REQUIRED LOT SIZE: SQFT WHERE ACR~TUg~L LOT SIZE FROM? ~'o.tO,'y ACTUAL LOTSIZE:20//-~' ~QFT. }rEQ FRONT: ~" PROPOSED:/-t~' SIDE YD: J~'~/.~ PROPOSED: LOT COVERAGE: ALLOWED:,~.O % EXIST1NG:~-- sf__% NEW:__sf__% TOTAL:,,~ sf CORNER? YES OR~'~ WAT ER FRONT? YES o~"-'O~ DESCRIPTION: SINGLE & SEPARATE CERTIFICATION-REQUIRED: YES o N~NOTES: 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 ~ACC OR N/D: AGENCY PERMITS REQUIRED FOR REVIEW NEEDFaD TOWN SPETIC PERMIT: YES o~ SUFFOLK COLrNTY HEALTH DEPT: YES or~ (BED #): DTE~.' NEW YORK STATE DEC: YES o~ SOUTHOLD TOWN TRUSTEES: YES o TOWN ZONING BOARD APPROVAL: YES or(~ TOWN PLAN. BOARD APPROVAL: YES or / / PERMIT #:R102 FLOOD COMPLIANCE ZONE: ~ PANF_~ #t , . FLOOD ZONE: NYSENERGY(.'~rE~__~_~DRNO :~,_~J EGRESS: X,~-'--VENT:_~_~'LIGHT: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR · SF SECOND FLR - &P ~ ~ SF TOTAL: SF OTr SF)-(SF)= INIT OTHER TOTAL FEE FEE FEE SFXS, =S £ IT H I T Applicant/ Architect/ Engineer: SCTM #: District: 1,000 Section: t~ 0 Block: ._5' Project Single & separate (Yes/~o~/ ce~ification: Zoning District: ~ 1~ D [~t size: Req. R~. [Front Y~d ~ Pro~s~:~] [Side Y~d Date Reviewed: Date Submitted: Lot: t./! Subdivision Name: Req. Actual: 1 [Lot coverage __ Proposed: ] Req. Proposed: ] [Rear Yard __ Proposed: ~] Project Description: AGENCY PERMITS REOUIRED FOR REVIEW N.A. NO YES Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Permit Number 765-1802 BUILDING DEPT. INSPECTION [ [ ~~UGH PLBG. ] FOU/~iON 1ST [, ]/~OUNDATION 2ND [ ] INSULATION [/~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY / DATE~:/~ INSPE~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC~CH~I .MN~Y REMARKS: ~//~,,~~,:~__L__~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION t ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH ~JBG. [ ] INS~J~TION ~.~AL [ ] FIREPLACE & CHIMNEY /%/ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ ]ROUGH pLBG. [ ] INACTION [~-./]' FINAL []FIREPLACE&CHIMNEY REMARKS: DATE INSPECTOR I~D° INSPECTION REPORT DATE COI~NTS II II II II ~ II II II II ,UNDAT ION ([ST) II II II )~ATION ( II II II II U II STA~ E~R~ Il' II CODE Disapproved a/c .................................. ' Okdlding hmpector ) /3 SETS OF PLANS . .~. ............ JSURVEY SEPTIC FORH ................... CALL HA1 i, TO: ................... APPLICATION FOR BUILDING PEILMI'F INSTRUCTIONS DaCe ................ , 20 .... a. lhis applicati~m ~,~t be c~letely filled in ~ ~iter or in i~ ~ ~itt~ to ~ hdldi~ Ins~tor ~ 3 ~ts of pl~, ~a~ plot pl~ ~ ~e. F~ ~i~ to ~le. , b. Plot pl~ ~ l~tim of lot ~ of ~ildi~s ~ ~s, ~lati~ip to ~joining prmi~s or ~lic struts or ~, ~ gi~ a ~1~ ~ri~i~ of l~t of p~ m,~t ~ dr~ ~ the dia~ ~i~ is ~rt of c. ~ mR m~ ~ ~is ~li~tim ~ mt E am~ ~fo~ i~e of ~ildi~ Pemit. ~mit ~11 ~ ~pt ~ ~' ~s ~ail~le ~r i~ti~ th~t t~ ~rk. e. ~hildi~ ~ll~i~or ~ ingle or in ~rt for ~ ~~t~er ~til a ~rtificate of ~ ~11 ~ ~n ~mt~ ~ ~ hildi~ ~to'r. ~ldi~ ~ ~ of ~ ~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~lic~le I~s, ~i~es or (kili~ ~ress of a~lic~t) State M~r a~h~t ~ les~, ~nE, ~d~it~[, engi~r, ge~ral c~[rac[or, electrician, plod~r or ~ild Builders License No .......................... Plud)ers License No .......................... Electricimm Licmme No ...................... Other Trade's Licetme No ..................... I. I~catio~ of land on ~hich proposed ~a~rk will be done .............................................................. llmme 1~ ~her street tt~mlet County Taxl~p No. I000 Section .....~.~). ....... Bl~ck ...~.~. ........ Lot ..'~...~..l,.].~ .............. ...... ... t..q. ........ 2. St~t~ exi~tin~ use ~nd ,~'~ .~y o£ pr~ise~ ~nd intended use and occupancy of proposed cc~struction: a. lhd~ting use and oc~ :...~..~J.I~.~.~.~.~ ......................................................... b. In~ ,_,_,~.e ~ _oco__,l:imncy ....~..~h.~..~.~.?..(r~ ......................................................... 7t. Fzllure of ~ork (dmck ~4dch applicable): lx~ tluilding .......... Addition ...... Alteration .......... Re. lmi r ............ Renova l ............. l}oiol it ion ............ Other 14o~k .................................. 4. Est imtt~l C~st ....~..: J~/..~.~.d)...~. ........ fee ............................................. (to be paid on filing this application) 5. If d~elling, ntanl~r of d~lling ~mits ..... [ ....... tq~ber of d~elling traits on each floor ............... ./~..~. If garage, ~t~er of cars ...Ap~ ................................ 6. If Inminess, commercial or llai:l~J o~cupancy, speeigy nature and extent o1~ each type of use..,~d//~.. .............. 7. Dimensions of existing structures, if any: Front .... .~.4..~ ....... Rear ...~3. .......... Depth ~-A-' ... Ileight ....... t~ ............... kk~ber of Stories ....... ~.~.//~ .......... Oi~nsions of same structure ~rlth alterations or additions: Front .... ~.~-~ ...... Rear ~.~.' ....... Depth ...... .~.4.~. ......... Height 'J~4 9~'/.~ / ''' ....... It. kt~ber of Stories .... 8. Di,ensio~s of entire ne~ construction: Front ...~.~.~. ....... Rear ....-~.4f ....... Depth ...~.?.j ....... ,ieight ....... ~1~./. ......... Nm~r of Stories , , 2~ / ....... ~' ............. . ................... Size of lot: l%~t ...~. .... .~..[.; ...... Rear ...... .~...~.~ ....... Depth ~'~ I~te of I~rchase ... !E.~. J~.q.O ...... ~ne of Former Ommr ........................................ 7one or use district' in ~id~ premises are situated ..... /~.~. .................................................. Does proposed ccnmtrnction violate any zeroing la~, ordin~mce or regulation: . Iht.?. ................... gill lot be regraded ...... ~/(..-~ .......... gill e.~:ess fill be removed fron premises: YEB ~) Ranes of Omar of p~-,~ises .~....l~i.~gy.~..~.. ........... Address .7./.:5.c:.~..~..f2?/..ff..~...I~.~.. ........ Pt~n~e lqo ............... l~a~ of Architect .................................... &~lress .............................. Phone No ............... I~e of C~ntractor .............................. ' ... Nldress ............................... Pl~ae i~ ............... 15. ls this l,,xn~rty within 300 [~t of a tidal wetland/ ~ ~ .......... NO .....~. .... *IF YES, 8(l/ll~i) ~ 3~Ub-tl~.~] ~.;I~IIT ~ Bi[ PI,OT 1)IAGR~H l.~cate clearly and distinctly ail buildings, ~ahetl~r existing or proposed, and indicate ail set-back dimensions property lines. Give street and block rt~ber or description according to {L"cd, and ~ street hanes ami indicate · t~etber interior or comer lot. ....................................... bei*O1 duly ~n)rn, delx)ses ami may.,; tlmt he i.,; tl~ nppli~nt · ~ of it~ividml, signing c~tract) ~ ia the ................................................................ (C~tractur, ~nt, co.rate officer, etc.) ................................... f ~id ~r or ~rs, a~ is ~dy ~tl~rJ~ to ~rfom or ha~ ~r[o~ Om mid m~ mfl to m~ aM file this ~licati~}; that all. atat~,enta cmtai~ in this a~licati~ are trim to the ~st of his k~l~ a~ ~l. ief~ and tat tim turk will I~ ~rfon~ in tim mmmr ~t forth in ~ a~limtim fil~ ~. ~m to I~[ore ~ this ....... ...... or .. .... ~ta~ . ...... ._ / / JOYCE M.~INS (Sigtml~re of Al~lJ.cm~t) ~ ~~a~ Publ~, State ~ New Y~ t~.m Ex=ir~ Jun~ MIDDLE ROAD (C. R. 48) NORTH 792.24' 774.49' SURVEY OF L 0 T ,19 ~ SUBDIVISION OF CEDARFIELDS FILED JUNE 27, 19g0 FILE NO. 8966 A T GREENPOR T TOWN OF SOUTHOLD SUFFOLK COUNTY, N. Y. 1000 - 40 - 05- P/O 01 Scale 1" = 30' ~ July 11, 1990 '~ July 27, 1990(found. loc.) ~ "',~ Nov. LOT LOT H. S. RE~ NO. 90 - SO- 59 AREA = 20, 115 sq. ft. - ~