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HomeMy WebLinkAbout27936-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29352 Date: 04/09/03 THIS CERTIFIES that the building ALTERATIONS Location of Property: 485 OLD WOODS PATH SOUTHOLD (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 87 Block 1 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16, 2001 pursuant to which Building Permit No. 27936-Z dated DECEMBER 3, 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 "AS BUILT" ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MARK F & CAROL A SZYNAK (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1038044 03/11/02 PLUMBERS CERTIFICATION DATED N/A _'IL / ;� - — /`, ori ed Signature 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. 27936 Z Date DECEMBER 3 , 2001 Permission is hereby granted to: CAROL SZYNAKA 429 EAST 52ND STREET #4G NEW YORK,NY 10022 for "AS BUILT" ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR WITH FLOOD PERMIT at premises located at 485 OLD WOODS PATH SOUTHOLD County Tax Map No. 473889 Section 087 Block 0001 Lot No. 004 pursuant to application dated NOVEMBER 16, 2001 and approved by the Building Inspector. Fee $ 566 . 80 ut orized Signature COPY Rev. 2/19/98 17 r1r3rL3rPL3rL3r3rQ3FrjE:11 JrJ�rJ�rJ . PcPrJPrJ�rJrJ�rJ�rJ��PrJrJ�rJ��PrJ�rJ�rJ-!Pr�rJrJrJ�cPrJrJ�rJ�rJ�rPrJ�rJ�rJ@Pr�rJrJ�rJrJrJ�r�rJ�rJ� ro 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY r5 5 40 FULTON STREET - NEW YORK, NY 10038 5 c7 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 CAROL SZYNAKA CAROL SZYNAKA L� rj 485 OLD WOOD PATH 485 OLD WOODS PATH 5 SOUTHHOLD, NY 11971 SOUTHOLD, NY 11971 5 Located at 485 OLD WOODS PATH SOUTHOLD, NY 11971 5 Application Number: 1038044 Certificate Number: 1038044 rS 5 Section: Block: Lot: Building Permit: BDC: NS115 Described as a Residential occupancy,wherein the premises electrical system consisting of J 5 electrical devices and wiring, described below, located in/on the premises at: 55 First Floor, rJ 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 rj found to be in compliance therewith on the I Ith Day of March,2002. �5 5 Name QTY Rate Ratine Circuit Type Amoun 5 Appliances and Accessories 5 5 Dish Washer 1 1.2 KW $5.0 rrrD,+++j Wiring and Devices rrr5 Outlet 8 Fixture $2.0 �1 Receptacle 6 General Purpose $1.5 Switch 1 General Purpose $o_2.. C 5 Fixture 8 Incandescent $1.6 C5 �5 GFCI Circuit Breaker 2 $2.0 CJ 5 Invoice Total $50.0 5 5 5 5 5 5 Sea, 5 5 I of I �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. EIrJrJ�PcP�frJrPr1rJ'rJLrL3�r3-PLWcPrJL3rL3r3rL3 Pr-Pr-LPLI-Jd3 fflEUE991'rJ'rJ'r..frJUM'11'11 .!I El PROFESSIONAL ENGINEER 1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631-765-2954 • FAX 631814-3516 • e-mail: joseph@fischetti.com Date: March 26, 2003 Reference: BP # 27936Z Southold Building Department Main Road Southold, NY 11971 Dear Sirs, I have inspected the kitchen renovations for Ms. Carol Szynaka at 485 Old Wood Path, in Southold. Specifically the following: 1. New rear window and header 2. New roof rafters for vaulted ceiling 3. Installation of new Skylight in kitchen I have found that all the structural requirements ha en completed in accordance to the pre 2003 New York State Building Code. F NE� y�P�Q 1SCyFTTOp�` %2r 05 O SSIO�P� Joseph Fischetti, PE Sniaka-tllUm eat.6% BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: iz / ,3 /Ol \ .DATE SUBMITTED:/z /3 /Ol APPLICANT NAME: �au�u �Say��cq 1 SCTM# DISTRICT: 1.000 SECTION: *55--t BLOCK: LOT: STREET: �8S Gtr CTTY• b D SUBDIV. NAME: « a s L9u,/V n PROJECT Dz ESCRIPTION: �� -n„njc o� Fis-��q ��E� n s e�p� ���:� r ARCHITECT/ENGINEER: /„nil/-( , FAST TRACK? N a SINGLE & SEPARATE CERTIFICATION-REQUIRED? N NOTES: LOTS 40,000SF-100-24.Lot mognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nmemfomdng at any time after 7/1/& ZONING DISTRICT: CONFORMING? REQ. LOT SIZE: ACT. LOT SIZE: /REQ. LOT COV. ACT. LOT COV. REQ. FRONT PROP. FRONT REQ SIDE ACT. SIDE REQ. REAR PROP. REAR WATER FRONT? SCRIPTION: PANEL #: FLOOD ZONE: AGENCY PERMITS REQUIRED FOR REVIEW APPROVALS REOUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or NO, (BED #):_DTE:_/,/_ PERMIT#:RI O- NEW YORK STATE DEC: PRE-DEC 9/Jn5 YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA): YES o j NYS ENERGY: YES O O : EGRESS (18 H min.? 4 s tal) VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP 'Z'/C/0 Z- HAVE PRE CO'S : Y OR N BP -Z/C/0 Z- - NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR : SF SECOND FLR : 3E3`1 SF INTI' OTHER TOTAL TOTAL: /, / 2 `F SF FEE FEE FEE OT(/T/Z_�SF)- (_&7<5-0-. SF)=,2-:2�SF X $ 36 =$� YO +$ I SCS +$ _$ .q , 4- /06 rCoOyJ COPY FOR YOUR INFORMATION COMPLAINT REPORT NAME ??? through Assessors office DATE Nov._ 14, 2001 ADDRESS PHONE# HOW RECEIVED, TEL MAIL IN PERSON xx LOCATION OF 115 COMPLAINT s Path. Southold,, N.Y. NATURE OF COMPLAINT CONSTRUCTION BEING DONE W-TflOUT BUILDING PERMIT. UNLICENSED CONTRACTORS, J ADm I10� o _ , p t)-,&,6 ASSIGNED TO INSP. DATEa REMARKS i ice' a !`i ei 7 04 AGO WNcr lF✓� 16�.L- n..0 �Ca� .,- /f ACTION TAKEN FILE # (IF APPLICABLE) RE-INSP DATE y APPLICATION q PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DENrELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1: GENERAL PROVISIONS (APPLICANT to read and Si¢n) 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made bcrein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. 1,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY KNOWLEDGE, TRUE AND ACCUE. (APPLICANTS SIGNATURE) cw�K � �(j�_ DATEVt SECTION 2: PROPOSED DEVELOPMENT (Tb be completed by APPLICANT) NAME ADDRESS TELEPHONE APPLICANT Y-'� 0(- I&)00��W+ Wt—A& BUILDER 7 ! ENGINEER PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. FDP(93) gn#1�93G �' S2yN 765-1802 BUILDING BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [x] ROUGH PLBG. [ j FOUNDATION 2ND [ ] INSULATION [�Q FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: Ile DATE 1 G a INSPECTOR M-1802 BUILDING DEPT. 1 NSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSU TION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: <.. h DATE JD INSPECTOR FISLU INSPECTION PORT flATI{ C�OlmlaS c FOUNDATION ( IST) �t FOUNDATION �(2ND)� -- - Z pt�Ut.✓c /�CCi.xS r Irl Iv-- u./�!•� ROUGH FRAME 6 PLUMBING C 0 It INSOLATION PER N. Y. STATE ENERGY fit' CODE V FIX" p3 v N MWITIONAL COMWWS n 0 JC c c W G` TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following, before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: 765-1802 Survey PERMIT NO. 4� 3 Check Septic Form N.Y.S.D.E.C. Trustees Examined121*1 —,20 ei Contact: Approved L 3 20 ./ Mail to: Disapproved a/c SL-- Phone: Building-lnspeeter LICATION FOR BUILDING PERMIT Date , _ J�3V 20-OV— BLDG.W-P TOM OF SOUTHOLD 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 part for any purpose what-so-ever until a Certificate of Occupancy 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, 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. —{/�/'� (Srgnatureof �o��W, if a corporation) `fYSOe-� lAOA JQTT YCV( U7(� LA/ V /I 3i (Mailing addiess of applicarit) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 0 W hP-2 Name of owner of premises M qRK F Cc h tL 01WOL, A . Sz—Y n//� kl _ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) �O Builders License No. b Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: OL (good AArN So U7-haci�, /'V House Number Street Hamlet County Tax Map No. 1000 Section ' Block Lot L Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy 5i/>rrlf. Tazz -A '12 �, - 1� ai.-4,ylccyt`�' R�dfAVE I n b. Intended use and occupancy,lLne.L2 -3&nid Uj t,.y�'� 3. Nature of wor (check which applicable): New Building Addition Alteration Repair Removalk/Demolition Other Work (Description) 4. Estimated Cost l 5 O a O Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units ...] _Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. '7t Lo_ 7. Dimensions of existing structures, if any: Front C2 2l Rear 3 Dep 3 Height Number of Stories Dimensions of same structure with alterations or additions: Front ;2 Rear 3/ Depth Height a � Number of Stories 8. Dimensions of entire new construction: Front /v A Rear Depth Height Number of Stori s t ,5, a .s 9. Size of lot: Front / Rear DeptIO' 10. Date of Purchase /a 9 O / Name of Former Owner -fA(�ml S /'S A hij Q./ 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: 13. Will lot be re-graded /\ 0 Will excess fill be removed from premises: YES NO Llys 6415 �c1O11`1r 14. Names of Owner of premises CR PIJ L S 2�La1L} -Address SD o rf�l_y Phone No. 9/ 7 :'73�i 0(/ Name of Architect Address Phone No Name of Contractor st " ? Address rtz h jC Qw r-,A\.Phone No. to,3/ -a2 8` 15. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF p 10 0/Q tr t s�4 rI k6 -- being duly sworn, deposes and says that(s)he is the applicant (Name of individual st g contract) above named, (S)He is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me this (pday f NOW206 � NotaryPublic Signature of A is SJSAN K TOOKER NOTARY Pu Bt.4c,state of New York No.01'TO5078120 Qualified in Suffolk Coun Commission Expires May 03 PROVIDE OPENINGS FOR EMERGENCY ESCAPE A pp �6m f/ •�/sic °'� ° � ����s PLUMBER CERTIFICATION S PLUIVIBiIVG If copper tubing is used lbs _ ALL PLUMBING WASTE for water distributing as ON LEAD CONTENT BEFORE REQUIRED BY PART, 714 OF r`9 virPc� &WATER LINES NEED CERTIFICATE OF OCCUPANCY N.Y. STATE BUIIDtNG CODE. RESTING BEFORE COVERING system; piping shall be SOLDER USED IN WATER of types K or�o_ SUPPLY SYSTEM CANNOT EXCEED 2/10 OF I%LEAD — -- Big AE s APPROVED AS NOTED' MMM CHAPTER��Nam DATE: /-Z' Y• of B.P,# CONPL.Y FEE:�b6G.8d BY RAMOAXAMNOTIFY BUILDING U DEPARTMENT AT ul , ^^ SOUTHOLD• TOWN C WIL 765-1802 9 .AM TO 4 PM FOR THE ' FOLLOWING INSPECTIONS: L.._........ k''` '' 1 FOUNDATION - TWO REQUIRED - FOR POURED CONCRETE OCCUPANCY OR 2_ ROUGH - FRAMING & PLUMBING x 3. INSULATION USE IS UNLAWFUL 4. FINAL - CONSTRUCTION` MUST BE COMPLETE FOR C.O. k"11THOUT CERTIFICATE ALL CONSTRUCTION SHALL` MEET OCCUPANCY THE REQUIREMENTS OF THE ,N.Y. _ F OCCUPANCY' STATE CONSTRUCTION & ENERGY Gni CODES. NOT RESPONSIBLE FOR , ._. .,.._ - CONSTRUCTION ER ROBS DESIGN OR- • l OV D UNDERWRITERS CERTIFICATE I f i ) E SM KE-DETECTING +REQUIRED M �' ; # ` A4AR DEVICES i�� r � . 721A PART' BUILDING CODE. PROVID -ANTI-SCALD AND/OR THERM L SHOCK PREVENTING ? � DEVICE AS TO PART. 902.6(X) y k . ' N.Y.S*TE BUILDING CODE. _ - ! � ���• WIC , � - � - - X ; 06 0�mj 61 C4 W C2 , k - I✓ «, .,m -„ .,---�n ', # '1.:.W,.,..—..;:..w...G:,m..i........—.�....s-�':.,..,,t. ._ � +..ww � - .. - 3j - �- � mai, "' r�^ w��{ ..�r��s .M- �� �..,..�.I�^� — f�'Egf"'t��.,i`���i='��.,.G.1�+• f �� �.� � � � ` w.� PROVIDE OPENINGS FOR - EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. , 7 r E< ill: tri ._ # � "`'i..i ;: ,, ��Df NER`I' x µ` ;632354-1. 11W 50 �OFE00 x, ' r k _ , ,e. i .. - ., k ,.. ♦ .,.. r� ....dwa a ...._r r.s . >h'.-5 - T3 -..