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HomeMy WebLinkAbout27659-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29076 Date: 11/14/02 T~IS CERTIFIES t~at the building ADDITIONS & ALTERATIONS Location of Property: 110 FLINT ST (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 48 Block 2 GREENPORT (HAMLET) ~ot 28 subdivision Filed Map No. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 15, 2001 pursuant to which Building Permit No. 27659-Z dated SEPTEMBER 17, 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 ADDITION, SECOND FLOOR DECK ADDITION AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. T~e certificate is issued to MARIO GARRIDO of the aforesaid building. (OWNER) SUFFOLK COUlFI~f DEPARTMENT OF ~]~_LT~ ~%PPRO~L~L E~E~--f~ICA~ C~TIFICATENO. PLUMBERS CERTIFICATION D~z'~3 Rev. 1/81 N/A 1044984 N/A 10/25/02 Authori z~ -Signature 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. 27659 Z Date SEPTEMBER 17, 2001 Permission is hereby granted to: MARIO GARRIDO 817 FLINT ST GREENPORT,NY 11944 for : ADDITIONS AND ALTERATIONS TO A TWO STORY SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 110 FLINT ST GREENPORT County Tax Map No. 473889 Section 048 Block 0002 Lot No. 028 pursuant to application dated MAY 15, 2001 and approved by the Building Inspector. Fee $ 465.60 Rev. 2/19/98 ORIGINAL Form NO. 6 TOWN OF SOUTHOLD BUlLDING 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 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. Approx/al 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. 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 topograptdc features. 2. A properly completed application and a consent to inspect signed by the applicant. Ifa 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. 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: Old or Pre-existing Building: House No. Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Permit No. ~-/ Health Dept. Approval: (check one) Street Block GOO ~ Date of Permit. /7..q~?T OI Filed Map. Applican{: Underwriters Appro.val: Hamlet Lot_ Lot: Planning Board Approval: Request for: Temporary Certificate Feb Submitted: $ Final Certificate: (check one) - Appfcant SignaturC~'''' 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 JIM SAGE ELEC. INC. MARLO GARRIDO P.O. BOX 38 817 FLINT STREET GREENPORT, NY 11944-0038, GREENPORT, VILL, NY 11944 Located at 817 FLINT STREET GREENPORT, VILL, NY 11944 Application Number: 1044984 Certificate Number: 1044984 Section: Block: Lot: Building Permit: BDC: NS37 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: First Floor, Second 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 25th Day of October, 2002. Name QTY Rate Ratin~ Circuit Type Amounl Alarm and Emergency Equipment Sensor 2 0 Carbon Monoxide $1.5C Sensor 2 0 Smoke $1.50 Appliances and Accessories Exhaust Fan 1 0 F.H.P. $2.00 Wiring and Devices Receptacle 16 0 General Purpose $4.0C Switch 12 0 General Purpose $3.00 Fixture 7 0 Incandescent $1.40 Receptacle 2 0 GFCI $2.00 Invoice Total $50.00 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. WARREN A. SAMBACH, SR. CONSULTING ENGINEERS · PLANNERS 7675 COX LANE · P.O. BOX 1033 CUTCHOGUE, NY 11935 6 3 1 -- (,~,~ 734-7492 September 14 2001 Building Department Town of Southold To~n Hall P.O. Box 1170 53095 Southold NY 11971 Main Road Re: Marion Garrido SCTM: 1000-48-2-28 817 Flint Street Greenport NY 11944 Gentlemen: The septic tank as originally installed for the original building is acceptable for the number of bedrooms. If there are four bedrooms in the future, the septic system will have to conform to Suffolk County Department of Health. S~cerely, Warren A. Sambach Sr. P.E. ENF_.I .®Y COI)_E C/kL_C_UJ. ATION (l=or Non-Electric Heat) For: Design Criteria: Per: 6,000 Degree Days O.A. 10 Degrees Fahrenheit i.A. 70 Degrees Fahrenheit. SUBSYSTEM AREA DESIGN TItERMAL- . REM:A-RKS 'U". RATING Foundation Walls Slab Insulation TOTAL: Building Envelope Systems to meet requirements of 7815.2 HV~AC Equipment lo meet requircmenls of 78 HVAC Sy~l~ih~ to m~et requirements of 7815.12 Duct Syslems to meel requirements of 78 ! 5.13 Ventilalions Systems to meet requirements of 78 i 5.14 [t:sulation of Piping Systems to meet requiremeuls of 7815.15 Service Water Healing Systems & Equipmcnt lo meet requircmenls of 7815.21 Eleclrical &~, ~ighting Systems lo meel requirements of 7815.31 To the besl of my knowledge, belief. & professional judgmcnt. these plans arc in compliance with thc code. Dale& ~7~ t(~ ~lx /~ I BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAME: DATE REVIEWED: ~"/'~/01 .DATEStmMrrTm.~//~01 SCTM# DISTRICT: 1,000 SECTION: ,Z//ff BLOCK: ,x9 LOT: o2 STREET://O~Sm ~) ~ ~~ C~Y: ~~¢~ S~DW. NmS:~¢,~~( PROJECT DESC~TION: ~CHITECT / ENG~ER~~ FAST T~CK? S~GLE & SEP~TE CERT~ICATION-~Q~D? ~o NOTES: ~TS 40,000SF -100-24. ~t r~o~ifion.(C~ATED before Jun~ 30, 1983), ~DE~ED ~TS FROM J~.199~ 100-25. Merg~.(A nonconfo~na~' 7/1/~3) ZO~G DIST~CT: ~-~ C~~? ~. ~o~ s=~:~,~oo acz. ~o~ s=~~~o. ~o~ cov. Ro~ ac~. ~oz ~Q. ~os~ 8~~op. ~o~~~Q sD~ ~v AC~. SD~~ WATERFRO~? ~0 ~ ~ ~4'~ ~ -- ~'~n°n- D~TION: P~L g: !~6 FLOODZO~: X ' AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REQUIRED: t SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #): DTE/~/ NEW YORK STATE DEC: r~-D~c 9nns YES or ~ SOUTHOLD TOWN TRUSTEES: YES or 1~ TOWN ZONING BOARD APPROVAL: YES ori~ TOWN PLAN. BOARD APPROVAL: YES or~ TOWN mSTOPdCAL PRE (SPLIA~ YES ~o~I~9 NYS ENERGY: YES F, GRESS (18 H min.? 4 sq total) ,/ VENT (SQ. FT. x 4%) BUILDING PERMITS OPEN/EXPIRED: BP ~- -Z / C/0 Z- HAVE PRE CO'S '~OR N )/ BP ~- -Z / C/0 Z- .,_ IT #:RI0- LIGHT (SQ. FT. x 8%) NOTJ~S: . . . , FEE S~UCT~: FO~ATION: F~ST FLOOR : SECO~ FLR : TOT~: {"Y ~p S~-} q ~2 ~- FEE OTHER TOTAL FEE FEE BUILDING DEPT. ~.ST [ ] ROUGH PLBG. FOUNDATION :)ND [ ] INSULATION [ ] FRAMI~q..~-,, [ ] FINAL BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [/] F~)~DATION~ 2ND [ ] INSULATION [v] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY DATE/////~/ ,'NSPECTOR~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUN~N~'~ST [, ] .~JNDATION 2ND //~ [/./]"' FRAMING [ ] FIREPLACE & CHIMNEY [( ] R.~H'PLBG. [/_./]/INSULATION [ ] FINAL 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ~ [ ] FOUNDATION 2ND [ ]_ INSU~Je~ [ ] FRAMING [ ,~FINAL [ ] FIREPLACE & CHIMNE~ DATE Fi~l~ IltSPEC~ION RRPORT '~ FOUNDATION ( CODE · 'ADDITIONal. : BUILDING DEPARTMENT TOWN IIXLL SOUTHOLD, NY 11971 TEL: 765-1802 Examined ~/.~ ,20~ ! Approved ~/~- ,20 O/ Disapproved aJc ~UIk,I.)LNt. J I~P~KIVIII AFFLII~A'flON (_;HE(2KLIS' Do you have or need the following, before applying Board of Health 3 sets &Building Plans Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building I~spector APPLICATION FOR BUILDING PERMIT Date ~/~ ,200/ INSTRUCTIONS a. This application MUST be completely filled in by {-ypeWriter 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 (~n'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 througho.ut lhe work. e. No building shall be occupied or used in whole or in part 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 of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffoll~.County, New York, and other applicable Laws, Ordinances or Regulations, for the e'onstruction of buildings, additions, or'alterations or for removal or demolition as herein described. The applicant agrees to cohaply with all applicable laws, ordinan6.es, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for neees, sary inspections. [.~Si~natUrc of ap-p~c~at or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber o Name of owner of pi-cruises (as on the tax roll or latest deed) If applicant is a co__of duly authori~i~d, officer (Name and tilt~ of corporate bfficer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work willie do.ne: TI 7 . ' House Number Street Tax Map No. 1000 Section County Subdivision (Name) S~ate existing use and occupancy of premises and intended use and occupancy of proposed construe'lion: a. Existing use and occupancy , ~ ~ ~ 1 E)i~ ' L b. Intended use and occupancy. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost If dwelling, number of dwelling units If garage, number of cars Fee 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. Rear~ Depth Dimensions of existi.ng structures, if any: Front Height ~J Number of Stories '~ . . Dimensions of same structure with alterations or additions: Front Rear Depth q (o Height ~- ~ Dimensions of entire new construction: Front Height ~c~ Number of Stories Size of lot: Front ~ O' 0. Date of Purchase tO~:t"_ : O I 1. Zone or use district in which premises are situated Rear ~ 0 Name of Former Owner Number of Stories ~ Rear Depth Depth ~ ) 7__' ~-~ 2. Does proposed construction viOlate any zoning law, ordinance or regulation: tT) O_, 3. Will lot be re-graded ; .F~ t2 Will excess fill be removed from premises: ~ NO 4. Names ofOwnerofpremises ~*,~rtl~'L~tPd~t~ddress'~l '7 ~Li ~DT ~ PhoneNo. ~: "~ '~.-- o/7 ::~O/ Name of Architect Address Phone No Name of Contractor 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 C:'~kJ ~r',:'[.k~)- ~ ~.~ ~) ~'~ k0.1..- being duly sworn, deposes and says that (s)he is the applicant (Name of i~v~du~l signing contract) ~ve named, ~)He is the ' [f[/~((Contracto3g,ent' Corporate Officer, etc.) f said owner or owners, and isdu y~l~thorized 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 ~rformed in the manner set forth in the application filed therewith. worn to before/me tins) '"~"'"~/J // -~/ROBERT I. SCOTT, JR. Notary Public Notary Public, State of NeW York Qualified in Suffolk County No. O1 $04725089 Term Expires May 31, ~gn~-~re of.~pp~car~t~'~ ~ SURV T OF LOT-/6 HAP Ot= "6REENPOI~T 01~1¥1N6 PAI~K" FI! ~ OEO. I, IqOq, ~ILE No. ~q ~I~A~ 6~PORT TO~ ~T~LO ~OLK ~~, ~ SURVEYEID I0-1(~-00 SUFFOLK. COUNTY TAX ~ 1000-48-2-28 N MARLO ®ARRIOO COMMONPtEALTH LAN~ TITLE INSURANCE C. OMPAN¥ LOT q LOT I0 S82°47,10,,E / -7© / / / 2 LOT / LOT 50.00' LOT LOT 77 NOTES: · AREA = MONUMENT FOUN~ SF OR O.19 ACRES GRAPHIC SCALE I"= 20' JOHN C. D SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 REF.\~Ip serverXd~PROSL20-268a pro il 5URMET' OF LOT HAP OF 1'6P-F=FNPORT DRIVIN6 PAI;~-," '~i! ~ ~6. I, Iq~, ~ILE ~RVETED I~-I~-~ , ~FFOLK ~UN~ TAX ~ ' GE~TIFIED TO: MAEIO ~A~IDO TITLE IN~U~NGE ~OHPANY ' LOT I0 LOT LOT 8 LOT 68 50.1 / / NOTE..5: · MONUMENT FOUND AI;~EA = 5,~25 5F OR O.1~ ACRE5 ,~RAPHIC, SC. ALE I"= 20' JOHN C. SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERI-]EAD, N.Y. 11901 369-8288 Fax 369-8287___ REF.\_kHp scrvCr~dkPROSk,?,0-.~58a.pro 1 J I j kl i t ~]~F T~ t I I I II WZn- wO L__