HomeMy WebLinkAbout27485-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-28613 Date: 07/24/02
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 320 PRIVATE RD #7 EAST MARION
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 38 Block 1 Lot 26
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 29, 2001 pursuant to which
Building Permit No. 27485-Z dated JULY 18, 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 A SINGLE FAMILY DWELLING WITH FRONT PORCH.
The certificate is issued to COLIN CROWLEY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-01-0001 07/17/02
ELECTRICAL CERTIFICATE NO. 134519-01 06/24/02
PLUMBERS CERTIFICATION DATED 06/17/02 ROBERT VANETTEN
Au rized Sognature
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. 27485 Z Date JULY 18, 2001
Permission is hereby granted to:
ROBERT F CLARKE
2 INMAN PLACE APT 1B
NORTH ARLINGTON,NJ 07031
for .
CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH COVERED PORCH AS
APPLIED FOR
at premises located at 320 PRIVATE RD #7 EAST MARION
County Tax Map No. 473889 Section 038 Block 0001 Lot No. 026
pursuant to application dated MAY 29, 2001 and approved by the
Building Inspector.
Fee $ 1, 072 . 50
y
Autho ized Si nature
COPY
Rev. 2/19/98
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 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 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 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 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. Copy of Certificate of Occupancy- $25.00
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00
Date. "--Lk
V 2
New Construction: `� Old or Pre-existing'47Building: (check one)
F4 Location of Property: 3dJ PrJro•�< Q•o,/( FY911,qr,zd.,
House No. Street Hamlet
Owner or Owners of Property:
Suffolk County Tax Map No 1000, Section 3g Block Lot .24
Subdivision Filed Map. ` Lot:
Permit No. 17 y$S_ Date of Permit. d t Applicant: CU 1�.\ 0,0,,,,19,
Health Dept. Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate n Final Certificate: (check one)
Fee Submitted: $ U✓ `
C/0 2810 t 3 Ap licant Signature
�O�gpFFOC��o
Town Hall,53095 Main Road czy Z Fax(516)765-1823
P. O. Box 1179 • .� Telephone(516)765-1802
Southold, New York 11971
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
C E R T I F I C A T I O N
DATE: � 1� D�
Building Permit No. o7 g Z
owner:
(please print)
Plumber: kC io'Pf+ Ua n E ++ ex)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% .lead.
(Plumbers Signature)
Swornto before me this
day of (412 L
Notary Public, 1TV (/C__. County
MEUWIE DOROSIO
NOTARY PUBLIC State of Newlbbk
No.01664634870
GualH1edin Suffolk County ���j
5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS
5 BUREAU OF ELECTRICITY S
5 40 FULTON STREET ~ NEW YORK, NY 10038 5
5
5 CERTIFIES THAT S
5 5
5 Upon the application of upon premises owned by 5
5 55
5 BOB'S ELECTRIC SERVICE C. CROWLEY339 W. 5
5 HICVILLE, NY 1STREET EAST MAR O320 FIRE N,
K SNY 11939 5
5 5
5 Located at 320 FIRE ROAD #7 EAST MARION, NY 11939 5
5 5
5 Application Number: 1061564 Certificate Number: 1061564 5
5 S
5 Section: Block: Lot: Building Permit: BDC: NS11 S
5 5
5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5
5 electrical devices and wiring,described below, located in/on the premises at:
SBasement,First Floor,Outside,Attic, 5
5 5
5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5
found to be in compliance therewith on the 26th Day of June,2002.
5 Name OTY Rate Rating Circuit 1�pe �C�J
5 Alarm and Emergency Equipment
S Sensor 6 0 Smoke S
5 Appliances and Accessories S
5 Range 1 0 :1.7 KW
5 Dish Washer 1 0 1.2 KW 5
5 Furnace 1 0 Oil 5
5 Hydro Massage Tub,Residential 1 0 5
5 Wiring and Devices 5
SReceptacle 27 0 General Purpose 5
5 Switch 28 0 General Purpose 5
5 Fixture 26 0 Incandescent 5
5 Paddle Fan 4 0
5 Receptacle 1 0 20 amp Laundry 5
SReceptacle 1 0 30 amp Dryer C,SJ
5 Receptacle 7 0 GFCI 5
5 Service S
S1 Phase 3W Service Rating 200 Amperes seal
5 Service Disconnect: 1 200 cb 5
5 Continued on Next Page 1 of 2 5
5 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5 5
0
5 BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS
S BUREAU OF ELECTRICITY
S40 FULTON STREET -- NEW YORK, NY 10038 5
5 �
CERTIFIES THAT 5
5
5 Upon the application of upon premises owned by S
5
BOB'S ELECTRIC SERVICE C. CROWLEY
S339 W. NICHOLAI STREET 320 FIRE ROAD #7 5
SHICKSVILLE, NY 11801, EAST MAWON, NY 11939 5
5 Located at 320 FIRE ROAD #7 EAST MARION NY 11939 5
5
SApplication Number: 1061564 Certificate Number: 1061564 5
5 5
SSection: Block: Lot: Building Permit: BDC: NSI 1
5
5
5 Described as a Residential occupancy,wherein the premises electrical system consisting of
5 electrical devices and wiring,described below, located in/on the premises at:
5 Basement,First Floor,Outside,Attic, rj
5
5 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was S
5 found to be in compliance therewith on the 26th Day of June,2002. 5
5 Name QTY Rate Rating Circuit Tvne
5 Meters: 1
S
5 5
5
5
5
5
5
5
5 5
5 sea,
5
5 2 of 2
5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
5
L"NE1tGY CODE CALCULATIONS
(For Non-Electric Heat) Design Criteria 6 , 000 Degree'.Days
/O.A. lU°P I .A. 7U°[
FOR:
A10
C r 0 � le� PER.- CA A I �C v^4 1, 21 ] 7-
DATED:DATED•
AREA DESIGN 'HEI MEL REMARKS
SUBSYSTEM "U" RAPING
------------
1•:XLerior. Walls (Opaque) 11� c)S,
Glaziny 2 V 2
Doors
ceiling/Roof (opaque) /70/ p p
Skylights %
Floor 1 `701 05" v
Foundation Walls
Slab Insulation
TOTAL
Notes ,
Buildi.ny Envelope Systems Lo ineeL• requiremenLs of 7015 . 2
11VAC Equipement to meet requirements of 7015 . 11
i1VAC Systems Lo meet requirements of 7015 . r2
Duct Systems to meet- requiremeiiLs of 741.5 . 1.3
VentilaL•ious SysL•ems Lo meeL requirements of 7015 . 19
InsuluL•ion of Piping Systems to meet requirements of 7815 . 15
Service WaL•er HeaL-ing Systems & Lquipment to meet requirements of '1815 . 21
Electrical & Lighting SysL•ems & Equipment- to meet requirements of 701.5 . 31
To the best of my knowledge,
belief, & professional
judgement- , these pla"s are i."
compliance wiLii the code .
rr r_ �.n rti
LAWRENCE M. TUTHILL -
r :
PROFESSIONAL ENGINEER
8 2(,11?
P.O. BOX 162 --
GREENPORT, N.Y. 11944
(631) 477-1652 ----
April 3, 2002
To whom it may concern:
Re: Residence of Colin Crowley
lire Road .7, off Shipyard Lane
East Marion, 11939
Permit #27A85Z
On March 31 , 2002 , I inspected the dwelling of Colin
Crowley on vire Road 7, off Shipyard Lane with reference
to the framing and insulation and Around all work done in
acc ordance with the permit filer with the Southold Town
Building Department and meets the New York State Building
Code.
Sincerely, /A/e
awrence M. Tuthill, P.E.
'�tof NEW
CE
QP y�
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2`P. 032254-1
V
9OFFSSIONP
BUILDING PERMIT REVIEW CHECK IS'I~
Applicant/ CIM /( Date
Owners Name: Cot_IN l2owlEy IB/ot
Reviewed: -7/
Architect/ Date
Engineer: ?C-NNSSubmitted: 5/aq/o(
SCTM #:
District: i Mo Section: 3g Block: Lot.
Project Subdivision
Location: 31-o I;?ztuA-�F kt> , RSC mAP-(C) NIA
—_--- — Name:
Single R separateJ146Lpired
ccrllfica(ion: (C Yell/No)
Req. ',^ p Kcy, p� p�
/Doing District: ��� 11,01 size: L 000 Actual: /3/32 d I tLor coverage
Req. p�/ -r S i Req. / t f ./Req. Q + /
(Front Yard .7r rroj osed:-3 1 [Side Yard �b Proposed:- . - ���t--���fff (Rear Yard J- Proposed-- 1
Project Description: Ali? «. aw eL- iti ra
AGENCV,RERMITS Permit
REQUIRED FOR REVIEW N.A. NO YES Number
Suffolk County Health Dept. r/ ,�/0-0/- 000/
New York State D. E. C.
Town Trustees
Town Zoning Board approval:
Town Planning Board approval: VX
Flood Plane Elevation???
Flood Zone: r
3e / - Y
36
M-11102
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [IC] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ FRAMING [ ] FINAL
[ ] FIREPLACES CHIMNEY
REMARKS:
�
r i,s/' 4 djrS re at e«s w �b//�C" a�/r i
6C
��..c 'fes � �+►.� E.a �nom+
DATE G a INSPECTOR
7"-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACES CHIMNEY
REMARK A62
DATE / 6 Z,�- INSPECTOR
Vps-
M-1902
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] R UGH PLBG.
[ ] FOUNDATION 2ND [ INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:, Zi
AtVt
DATE �� �� INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] F NDATION IST [ ] ROUGH PLBG.
[ FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREP CE CHIMNEY
EMAR S:
��S
._1
�-"
DATE INSPECT
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ) FIREPLACE & CHIMNEY
REMARKS:
C�.vrs
DATE 07 !!11(92.
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ j FOUNDATION IST [ j ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
Dll<- �. o_
DATE 07/,�-1 o INSPECTOR ,G�
765-1802
BUILDING DEPT.
INSPECTION
[ FOUNDATION 1 ST [ ] ROUGH PLBG.
[ j FOUNDATION 2ND [ ] INSULATION
[ j FRAMING [ ] FINAL
[ j FIREPLACE & CHIMNEY
7R �ARIKIS: 60/)CIlt
DATE INSPECT
- r
y
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13UILDING DEPARTMENT BIJILViNU PE&Mtt ArrL1c ATION
TOW ( HJrC lit TOWNIS you have or need the following;before applying
SOUTHOLD, NY 11971 Board of Health pp1 n g
TEL: 765-1802 3 sets of Building Plans
PERMIT NO. 9-7 Survey
Check
Septic Form
Examine N.Y.S.D.E.C.
/� 20 O, Trustees
Approv 20 i�� Contact:.
Disappro a/c =L Mail to:
Phone:
Building In ector
2g
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS Date 20_
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 a
is issued by the Building Inspector. ny purpose what-so-ever until a Certificate of Occupan
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, oralterations 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 in building for necessary inspections.
kignature o pplicant or e, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
d cr
Name of owner of premises Cdr-,
(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: 3-ao P/--1-1 VJ:z- u 4—
House
House NumberO
Street
Hamle�;oY:r_' tY;>ATOA
County Tax Map No. 1000 Section 3$
Subdivision • Block
Filed Map No.
(Name) Lot
Z. State existing use and occupancy of premises and intended use and occupancy of proposed construction: '
a. Existing use and occupancy %Ja c na{ 1=0
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
t. Estimated Cost ��0,0,0° Fee (Description)
(to be paid on filing this application)
If dwelling, number of dwelling units 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 Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
Dimensions of entire new construction: Front :Gy ' Rear (p��f Depth 36 f
Height Number of Stories 1 .S
Size of lot: Front I do Rear /Z 2 ' Depth //Y'
0. Date of Purchase 36p( Name of Former Owner__ I/✓���ia ._ a iArkt
1. Zone or use district in which premises are situated es;AA
2. Does proposed construction violate any zoning law, ordinance or regulation: yJ
3. Will lot be re-graded-----U 5 Will excess fill be removed from premises: YES
4. Names of Owner of premises Lc&A `'r,) t Address Ahl A)O,(k S�,c +Phone No. Lt 7"7-Yd ty
Name of Architect n`^^y 6„„ 6<� Address �:�t �„Ce i Phone No `t-)7-
Name of Contractor c>K.Nr� Address /Phone No.
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 `S.A -SA )
w\` C p being duly sworn, deposes and says that(s)he is the applicant
(Name of individual signing ontract)above named,
)')He is the C,)A,4,
(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.
wom to before me this
day of *OPA 4 2 of -
Notary Public Si ature of Applica
LYNDA M.BOHN
NOTARY PUBLIC,State of New York
No.01 B06020932
Qualified in Suffolk County
Term Expires March 8,20dz
Town Of Southold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT
Date: 05/29/01 Receipt#: 0
Transaction(s): Subtotal
1 Septic Permit-Construct- Resid. $10.00
Total Paid: $10.00
Name: Crowley, Colin
Po Bx377
Greenport, NY 11944
Clerk ID: LYNDAB Internal ID:32978
?G`5T oGc
D9,tr Beow.v g`aL
— z SUFFOLK COUNTY DEPARTMENT OF ITALrA$T.%W.C':ES
17
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PROVIDE ANTI-SCALD AND/OR PLUMBER CERT/F/CAT/ `
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SOLDER USED!N WATER FEE: _ P� t,
SUPPLYSYSTEM CANNOT 765-1802 NOTIFY 9 AIM TO 4NG DF FPIVI FOR '�AT
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0 NOT PROCEED WITH EXCEED 2/10 of 19b LEAD Mt� �
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TESTING BEFORECOVEMNO THE REQUIREMENTS OF THE N.Y.
UNDERWRITERS CERTIFICATE STATE CONSTRUCTION &. ENERGY
REQUIRED CODES. NOT RESPONS18LE FOR
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If copper tubing is used
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ALARM DEVICES UNDERWRITERS CERTIFICATE
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