Loading...
HomeMy WebLinkAbout27912-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28895 Date: 09/26/02 · r~fS CERTIFIES that the building ADDITION TO RESIDENCE Location of Property: 350 BAYVIEW AVE GREENPORT (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 52 Block 5 Lot 37 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 14, 2001 pursuant to which Building Permit No. 27912-Z dated NOVEMBER 19, 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 ADDITIONS & ALTER3~TIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CAROLYN JAEGER TAMIN (OWNER) of the aforesaid building. SUFFOLK CO~DEPARTMENTOF~ALTHAPPROVAL ELROr~ICAL CERTIFICATE NO. PLUMBER~ C~TIFICATION DAT~ N/A 1059100 09/13/02 04/11/02 EME PLUMBING - ~uthori~ed Signa~e ff 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. 27912 Z Date NOVEMBER 19, 2001 PermisSion is hereby granted to: for : CAROLYN JAEGER TAMIN 307 FIFTH AVE GREENPORT,NY 11944 ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 350 County Tax Map No. 473889 Section 052 pursuant to application dated NOVEMBER Building Inspector. Fee $ 150.00 BAYVIEW AVE GREENPORT Block 0005 Lot No. 037 14, 2001 and approved by the thorized SignatUre- Rev. 2/19/98 COPY AUG 29 '02 09;2~2AI -,;,L/~H3LD BUILDIMG 631 765 9502 P.2 Form ~o. 6 · o sour. II 1_ m BUILDING DEPARTMENT //'~ ~i ~'~--~[ ~ J/ ~',/ ~ r TOWN H~L [/~ /~ ' APPLICATION FOR CERTIFICATE OF ~ h~ application must be filled in by typewriter or i~ and submitted to tt~e Building A. For new building or new us=: 1. Final surv,y ofprope~y with accurate location of ~11 buildings, prope~y lines, slreets, and unusual natural or topographic f=atures. ' 2. Fmai Approval from Health Dept. of water supply and ~ewerage-dispo;al (S-9 fern). 3. ~:~,~pro, al of electrical installation from Bo~d of Fire Undo~fiters. 4. S"~om ~tatement from plmber ee~ifylng that the ,old~ us~ in system contain, less thm~ 2/10 of 1% lead. 5. ~r:r zial buildi~, ind~tdal building, m~tiplo re;id~ces ~d ;imlar buildings ~d installations, a of Code Compliance from arc~t~t or engineer re~on;ible Ibr the buildi~ 6. Sub~t Pla~ng Board Approval ofcompl~ed site pl~ B. For =~;ting buildh,d; (prl0r to April 9, 1957) ~on-conforming n~e;, or building; and "pr~exi~tlng' land 1. Aecurat* ,~,y of property showing all prope~y line;, ;treets, building and ~u~ual natural or features. 2. A properly completed application and consent to inspect si;t~ by the applicant. If~Ceaificat, of Occup~ d~ied, the Building Inspector shall state the "ason; th~efor in writin[[gt~pplicant. ~. Ce~ifi~fO~p~¢? ;Near dwelli=g $25.00, Additi~us to dwdli~g $~5.00, Alterations ~o dwelli~ $25.00, Swimmlng pooI $25.6'~', Acc~sso~ building ~25.00 Additions to accesso~ build~ng $25.00, Businesses $50.00. 2. C,~ificat, of Occupm~cy on Pre-existing Building - $100.00 ' 3, Copy of Ce~ificate of Occupancy. $25.00 4. Updat,d C~ificat, of Occupancy - $50.00 5. Tempor~ Certificate et Occupancy - Residential $15.00, Co~ercial $15.00 Date. ~ ~ Old or Pre-existing Building: _ ..... Street ' - New Construction: Location of Property: .. ~ ~lr') No. Owner or Owners of Property:_ Suffolk County Tax Map No 1000, Section Subdivision Healt!~ Dept, Approval: Pla~ng Bo~td Approval: Request for: Tempor~ Cemifieate Block Filed Map. Applicant: __ Underwriters Approval: . Final Certificate: (check one) Hamlet Lot Lot: (check one) BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 30038 Upon the application of CERTIFIES THAT JIM SAGE ELEC. INC. P.O. BOX 38 GREENP©RT, NY 11944-0038, upon premises owned by Located at Application Number: 1059100 Section: Block: Described as a Residential CAROLYN TAMIN 350 BAYVIEW RD SOUTHOLD, NY 11931 350 BAYVIEW RD SOUTHOLD, NY 11931 Certificate Number: 1059100 Lot: Building Permit: BDC: NS11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Outside, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the 13th Day of September, 2002. Name QTY Rate Rating Circuit Type Alarm and Emergency Equipment Sensor 1 0 Carbon Monoxide Sensor 1 0 Smoke Appliances and Accessories Dish Washer 1 0 1.2 KW Range 1 0 14 KW Wiring and Devices Receptacle 11 0 General Purpose Switch 12 0 General Purpose Fixture 15 0 Incandescent Paddle Fan 1 0 Receptacle 6 0 GFCI Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. Town Halls 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 hone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ~4 /It / og~ Building Permit No. Owner: (please print) Plumber: ~--/~ //~ ~/~/',') GA/ ~,~ ~- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. to before me this day of Notary Public, County JOYCE M. WILKINS Notery Public, State of New York No. 4952246, Suffolk County Term Expires June 12, ~0 0 ~ (Plumb e"6~s' Signature) Susan HoenstJne Frooks 21 Central Drive, Plandome, NY 11030 December 28, 2001 Building Department Town of Southold Southold Town Hall P. O. Box 1179 Southold, NY 11971 Re: Tamin Residence Summer Haven, Lots 72 and 73 Foundation Inspection Gentlemen: I am writing to you to certify the following items regarding the foundation work at the Tamin Residence: 1. The cominuous footing rests at 42" below grade. 2. The foundation wall is constructed of filled CMU's. 3. Anchor bolts were placed ~ 4 foot on center as specified. 4. The foundation wall was waterproofed per my specifications before the backfilling was completed. 5. The general contractor will provide (3) 2 X 12's resting on beam pockets in lieu of the 2 X 8 girders resting on the center footing. The general contractor will then flame 2 X 8's into the center beam. Please do not hesitate to contact me if you require further clarification. Thank you very much for your assistance and cooperation~ Sincerely, Susan Frooks Cc: J. Tamin BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAMB: ~o~,~ ~ I~,0 DATE REVIEWED: ti//~/01 .DATE SUBMITTED: It ~ltl/01 SCTM# DISTRICT: 1,000 SECTION: STREET: ~%~z, PROJECT DESCRIPTION: ARCHITECT / ENGINEER: BLOCK: ff LOT: $-~ C1TY:_~m~:~~ SUBDIV. NAME: ~/~ FAST TRACK? SINGLE & SEPARATE CERTIFICATION-REQUIRED? ~ NOTES: LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: CONFORMING? REQ. LOT SIZE: REQ. FRONT ACT. LOT SIZE:'I,6~,~, REQ. LOT COV. PROP. FRONT ~t~' REQ SIDE PROP. REAR ~" WATER FRONT? 4/~ DESCRIPTION: PANEL #: FLOOD ZONE: , ACT. LOT COV. ACT. SIDE AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REQLrIRED: SUFFOLK COUNTY HEALTH DEPT: YES Or NO, (BED #): DTE:__ __ NEW YORK STATE DEC: raz-D~c 9ntis YES o~ SOUTHOLD TOWN TRUSTEES: YES ot~ TOWN ZONING BOARD APPROVAL: YES or,~Q~ TOWN PLAN. BOARD APPROVAL: YES o~ TOWN HISTORICAL PRE (SPLIA):. YES orl~_O~' / / PERMIT #:RI0- NYS ENERGY: YES OR NO: EGRESS (18 H min.? 4 sq total) __ VENT (SQ. FT. x 4%). BUII,DING PERMITS OPEN/EXPIRED: BP -Z / C/0 Z- HAVE PRE CO'S: Y ORN BP -Z / C/0 Z- NOTES: LIGHT (SQ. FT. x 8%) FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: ~ q ~ SF SECOND FLR: SF TOTAL: ~ q ~- SF 'OT(o3,C{Or SF)-( ...-- SF)= _.._ SFX$/ INIT FEE . =$ ...-~ +$ OTHER FEE +$ ,~ = $ TOTAL FEE  INSPECTION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ '"]ROUGH PLBG. [[, ~J~ ~~ION 2ND [[ i IF;NSAU~ATION [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUND~T [ ] ROUGH PLBG. [ / ~NDATION 2ND [ ]INSULATION /~I[ ]~FiRRAE~I;;c E & CHIMNEY[ ] FINAL ~,~ 765-1802 BUILDING DEPT. INSPECTION [ ] R~PLBG. [ ,~ INSULATION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] FIREPLACe& CHIMNEY REMARKS~'/ / 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [~ FINAL [ ] FIREPLACE & CHIMNEY DATE I N SPECTOR ~ . (21tm) ~0~ I~'P, AI4E & · PLU[~ ING ~rA~ E~ a6~r CODE _T TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOU~HOLD, NY 11971 TEL: 765-1802 L/ ^pproved 20 o/ Disapproved a Jo [ ' '[ BUILDING PERMIT APPLICATION CHECKLIS Do you have or need the following, before apptyml Board of Health 3 sets of Building Plans Survey. Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: ~PPLICATION FOR BUILDING PERMIT Date 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 pan 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 ora 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, or alterations 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./.2~ ~ ' ( 'gnamre of appli~cant or name, if a corporation) t (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner ofprernises (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 ' House Number ~ .... street County Tax Map No. 1000 Subdivision (Name) Hamlet Section ~, Block -~' Lot Filed Map No. Lot State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy ~L~'~_.4 Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost ~ 35't O00 Fee If dwelling, number of dwelling units If garage, number of cars Addition Other Work Alteration (Description) (to be paid on filing this application) Number of dwelling units on each floor 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. Dimensions of entire new construction: Front Height · Size of lot: Front 0. Date of Purchase Number of Stories Rear Name of Former Owner Number of Stories Rear Depth Depth 1. Zone or use district in which premises are situated 2. Does proposed cons~uction violate any zoning law, ordinance or regulation: 3. Will lot be re-graded 4. Names of Owner of premises Name of Architect Name of Contractor Will excess fill be rembved from premises: Address-°1~0 ~1~' ~/l'~[~dj~P~ho/On~e~o. Address Phone No Address Phone No. YES 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 ) --'~aY~/Q ~ '~f-~ m/'P~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, g)He is the ~/~t~Jl/XI?~k'~ (Couhactor, 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; mt all statements contained in this application are true to the best of his knowledge and belief; and that the work will be erformed in the manner set forth in the application filed therewith. wort[, to&before me this. / Y ~"?~'- day of Notary Public HELENE D. HORNE Commission Ex~ires May 22,~00- Signature ~f Xl~P'licant