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HomeMy WebLinkAbout24744-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29022 Date: 10/28/02 THIS CERTIFIES that the building ADDITION Location of Property: 270 RUTH RD (HOUSE NO.) County Taxx Map No. 473889 Section 106 Subdivision Filed Map No. __ MATTITUCK (STREET) (HAMLET) Block 5 Lot 34 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 18, 1998 pursuant to which Building Permit No. 24744-Z dated MARCH 3, 1998 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 ADDITION TO Alq EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN ANTONOPOULOS & WF (OWNER) of the aforesaid building. SUFFOLK COU1TI"f DEPARTMENT OF HE~J~THAPPROVAL ELEt-rKICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~r~a3 Rev. 1/81 N/A 1062019 07/02/02 07/22/02 REV JOHN D/~TONOPOULIS "'~//z~d S ignat ur e 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. 24744 Z Date MARCH 3, 1998 Permission is hereby granted to: JOHN & WF ANTONOPOULOS 22-25 29TH ST ASTORIA~NY 11105 for : CONSTRUCT A 2ND STORY ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 270 County Tax Map No. 473889 Section 106 pursuant to application dated FEBRUARY Building Inspector. RUTH RD MATTITUCK Block 0005 Lot No. 034 18 1998 and approved by the Fee $ 75.00 -- Bu~i~~ctOr ORIGINAL Rev. 2/19/98 BUILDING DEPARTMENT TO%~N HALl, 765-1802 APPI,I( 5\TION i;(}R CEI~,TIFI(TATE ()F OC(?UPANCY This application must be filled in by typewriter or ink and subnfitted to the Building Department with the following: For new building or new use: 1. Final survey of property with accurate location of alt buildings, property lines, streets, and unusual natural or topographic features. 2. Final Al)proval fi'om llealth DepI ofv,'atcr SLll,ply arid sewerage-disl)osal (5;-9 form). 3. Approval ofdectrical installation from Board of Fire Undem'rilers. 4. Sworn statement fi-om plumber certifying tlmt thc solder used in system contains less than 2/10 of' 1% lead. 5. Commercial building, industrial building, multiple resideuces and similar buildings and installations, a certific of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to ·April 9, 1957) non-conforming uses, or buildings and "pre-existing" land us, 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 Occupam is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 1..~2ertificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0( Swimming pool' $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0 2. C~dficate of Occupancy' on Pre-existing Building - $100.00 3. Photocopy of Certificate of0ccupancy- $ 0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. ~ N/z~_.~ Old or Pre-exi~ng Buildln~ (chec& one) House No. Stre~t New Con~n~°m Location of Propea-ty: Owner or Owners of Pmperty: Suffolk County Tax-Map No 1000, Section Subdivision Permit No. ~L4 ? (.ff q Health Dept. Approval: Plmmh~g Board Approval: ? ,] ~ _fi, - Block .S Lo~ Filed Map. Lot: _ Date of Pel'mit._~t~ ~ ~/~Applicant: Underwriters Approval: Request for: Temporary Certificate . __ Final Certificate: Fee Submitted: $ ~ ~"-~-' (check one) licant Signature Town Hall, 53095 Main Road P.O. Box 1179 Southold, New Ydrk 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1[ BUILDING DEPARTMENT TOWN OF 8OUTHOLD CERTIFICATION Building Permit No. Owner: ~Z~, .~---~ot~-~ (please print) Plumber: ' ,.~.ff ~ ' ' ~/ (pleaseprlnt) lead. Sworn to before me this '~ ~ "Qualified in Queens County Commission Expires July 31,200~.. Notary Public, (~ ~) t~ 1~ ~ County I certify that the solder used in the water supply system contains less than 2/10 of 1% (Plumbers' Signature) 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 B.J. ELEC. CO. JOAN AMTOPOULIOS BOX 16 270 RUTH ROAD STILLWATER AVENUE MATTITUCK, NY 11952 CUTCHOGUE, NY 11935, Located at 270 RUTH ROAD MATTITUCK, NY 11952 Application Number: 1062019 Certificate Number: 1062019 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, Attached Garage, 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 2nd Day of ]u1¥, 2002. Nam.___.~e QTY Rate Rating Circuit T~qoe Alarm and Emergency Equipment Sensor 3 0 Smoke A. pplianees and Accessories ~ Exhaust Fan I 0 ~ Wiring and Devices Receptacle 9 0 General Purpose Switch 10 0 General Purpose Fixture 4 0 Incandescent Paddle Fan 1 0 Receptacle 1 0 GFCI Service 1 Phase 3W Service Rating 150 Amperes Service Disconnect: 1 150 cb Meters: 1 seal 1 of l This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. For ENERGY CODE REVIEW (non-electric) 7814 (Part 5) 6,000 deGree-days ~nvelope Component R-Value Exterior Wall RoOf/Ceiling Floor Foundation Wall Slab edge Insulation GlazinG Entrance Doors R-18 R-19 R-19 R-10 R-10 R-1.7 R-2.5 Ail HVAC Equipment to meet requirements of 7814.11 All HVAC Control Systems to meet requirements of 7814.12 All Duct Systems to meet requirements of 7814.13 All Ventilating Systems to meet requirements of 7814.14 All Piping Insulation to meet requirements of 7814.15 All Service Water Heating Systems and Equipment to meet requirements of 7814.21 All Electric Systems to meet requirements of 7814.31 To the best of my knowledge, belief, and professional judgement, these plans are in compliance with the code. ~-***BU I~ NG DEPT. FOUNDATION 1ST [ ] ROUGH PLBG. [ ] Fou~u~iBATION 2ND [ [ ~]~ FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: .//~ ] INSULATION ] FINAL DATE [ ] FOUNDATION l ST [ ],~ ROUGH PLBG. [ ] FO~UN~TION 2ND [ ] INSULATION [~ FRAMING [ ] FINAL [ ] FIREPLACE ~CHJMNE~ ~ ~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [~ROUGH PLBG. [ ]/F/OUNDATION 2ND [ ]INSULATION FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY~ REMARKS: ~ ~ ~ DATE / INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ P~ROUGH PLBG. [ ] FOUNDATION 2ND [~ULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION I ST [ ] FOUNDATION 2ND [ ] FRAMING [ ] ROUGH PLBG. [ ]~I~LATION [/] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ~ ~DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] INSU~TI~N [~NAL [ ] FIREPLACE & CHIMNEY REMARKS: INSPECTOR FOU~DATiON ( 1 s t ) FOUNDATION (2nd) ROUGH FRAME & .FLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL FOR~ NO. I TOI~N OF SOUTNOLD BUILDING DEPARTHENT TOI~N HALL SOUTItOLD, N.Y. 11971 T~L: 765-1802 (Huild~/[nsp~tor ) APPLICATION FOR BUILDING PER~IT INSTRUCTIONS BOARD OF IlEAl,TH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FORH ................... 'Date..d.'. ? ........... I .... a. This application mint be cu,vletely filled in by typewriter or in ink and sulanitted to the Building Inspector wit} 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 streets or areas, and giving a detailed description of layrmt of property must be dra*m on the diagr~ ~ahich is part of this application. c. The ~k covered by this application may not be ~,,,~ed before issuance of Building Permit. d. Upon app~u~al of this application, the Building Inspector will issue a Buildlng Permit to the ai~olicant. Such permit shall be kept on the O,,a.lses available for inspection throughout the work. e. No building shall be occupied or used in ~aole or in part for any purpose ~hatever ontil a Certificate of Occupancy shall have been granted by the Building Inspector. APPI.ICATI(}I IS ~ ~ to the Building Depa~tn~nt for the is.m~ce of a Building Permit porsu~t to the Building Zone Ordinance of the To~n of Suuthold, Suffolk County, Ne~ York, and other applicable La~, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for r~a~al or derrolition, as herein described. The opplic~t agrees to c~,~ly with all. applicable la, m, ordinances, building code, hotming code, and regulations, and to ad, it authorized inspectors on premises and in building for necessary inspections. (Sig~mture of applicant, or name, if a corporation) (l~ailing address of applicant) State ~hetber al~licant is mr, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder. ......... .... ..... I$. .?.4 .q x ............................................. (~ on tho tm~ roll or latest If al~licant is a eorpo~ation~ signature of 8uly ~ut}~ri~ offlcer. (N~r~ a~d title of corporate officer) Builders Ph~bers License No .......................... El~trici~s Lie~ ~ ...................... I. ~ati~ of 1~ ~ ~i~ ~ ~ viii ~ ~ ....................................... ; ...................... ................ ..................... .......................... [~ ~r St~t ~et ~ T~ ~. I~ ~ti~ .L~.~ ........ Bl~ ...~,.. ......... ~t ..~.~ .... ' ...... ~i~iai~ ........ [) ........ ~ ............. ril~ ~ ~ ................ I~t ............... (~) 2. State ~sti~ ~ ~ ~ of ~i~s ~inte~ ~ ~ ~ of p~o~ ~st~tim: . s[~ ~ ~ ~ ........ ~. ................ .~ ................................................. b. Int~ ~ ~ ~ ......... }' '~ ............. e ................... .:' '~~ ............. 3. N;~tme of ~o~k (cbexk ~id~ al~licable): ~ I~dlding .......... ~i~ion .......... Alteration .......... l~l~d r ............ ~al ............. !~1J~i~ ............ Other ~k .................................. 00 (~ripti~) O dO~, ~ f~ .............................................. 4. Est i,~t:~l C~st ...] .......... F. ......... (to I~ ~id on filing this al~licati~O 5. If &roiling, Iil~t~r of ~lling units .... ] ....... t~l~r of &rolling ~mits (m ead~ D~r ................ If garage, ~l~r of cars ...................................... 6. If lami~ss, ~ercial or mi~ nco~, s~ci~ ~ture and extent of ead~ t~ of u~ ...................... ' " 5~U' -0" .~..~.q ........ 1. I)i,,~nsiom of ~isting stnmtures, if any: Fr~t..~.~..~ ....... ~ar ............... ~pth I~iO,t .t~.'. ................... ~,~r of Stories ..{ ............... Oin~nsi~s of ~m ~tn~t~re with alt~s 0~ ~itions: Fret .... ~.~.~. ~ar .~..~0.t-" I~plh .... ~.}~57~.'..~'... I~iO,t ..~..~.q ........ ~ml~r of Stories ...~ ........ . 8. Di,~nai~m O~ entire ~ ~mt~tio,: l~a,t 3.{'' O' t , .. I~ar ............... ~pth . " If .................... ~,l~r of Stories ..... ~ ........... 9.si~o~,o~. ,~t JI¢T . ~ 1~ ~p., I&~ .......... ' ':"' .............. , ............... I0. l~le of IMr~lm~ .......... [..~ ..... g~ of Forint ~mr ...................................... ,,. ........................................ 12. I~a pro~l c~mt~tlm ~iolate any ~ming I~, ordinate or regularly: . .~.O ................. 13. ~ill lot Im r~r~i ..~.O ............. ~ill e~:ess fill Im rm~l · ,~ o~ c~to~ G .............................. 7.. ~u~ 2 .......... -~--/ ............... a~ m ............. 15. Is Ibis p~rty within ~ ~t of n riehl tmtlm~l! ~ ~¢q .......... PLOT DI^GRAH locate clearly a[~l distinctly all I~Jil(lings, *t~ether existing or proposed, m~d indicate all set-lmck dimensions prol~erty lines. Gi~ street and block a=]l~er or description according to deed, and sim street nwmes and indicate x.4~etber interior or corner lot. 5'1~,'11~ 01:Fa,;1,4 ¥(N{K, /', /' //' .... ... >/ .. .~.... .Clming duly annam, delx)ses a,~l .says that he is tim apl)Ii(mat (~ o[ i~ividml, signi g (:~ t act) le is (he ....... ~ .............................................................................. f/llkn,tractor,~ge,,t, corporate officer, ere'.) ,f said (~n~er or ('i'/mx"ff~s'~ a[~l is (hdy authorized to perform or have i)erl'on~twJ Ihe .m~id turk and to make ao<l file Ibis ppi ication; Ihat all statonents c(a~l:ai~x~l in this alq)l ication are tn~e to the beat of his kno~ledgm hat the ta,k ~ill be perfon~l in the .~s.~r set forlh in the applicati(m filed therewith. ^ppi leant)