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. - ~