HomeMy WebLinkAbout28996-ZFORM NO. 4
TOW~ OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30099
Date: 03/19/04
TRIS CERTIFIES that the building AIEW DWELLING
Location of Property: 425 SOUTB HARBOR RD SOUTHOLD
(ROUSE NO. (STREET) (HAMLET)
County Tax ~aD No. 473889 Section 75 Block 4 Lot 29
Subdivision Filed Map No. __ Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 3, 2002 pursuant to which
Building Permit No. 28996-Z dated DECEMBER 10, 2002
was issued, and conforms co all of the requirements of tke applicable
proviszons of the law. The occupancy for which this cermificate ms issued
is ONE FAMILY DWELLING WITH COVERED FRONT PORCH (MODULAR HOME AS APPLIED
FOR.
The certificate is issued to SALVATORE M CATAPANO JR & ANO
(OWNER
of the aforesaid building.
S{/FFOLK COUNTY DEPARTMENT OF HEALT~ APPROXrAL R10-02-0191
ELECtRICaL CERTIFICATE NO. 1133418
PLUMBERS CERTIFICATION DA'rmu
Rev. 1/81
03/17/04
06/24/03
03/10/04 M BAXTER
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UI~TIL FULL
COMPLETION OF TEE WORK AUTHORIZED
PEP~I~ ~0. 28996 Z Date DECEMBER 10, 2002
Permission is hereby granted
SALVATORE CATAPANO
47420 MAIN ROAD
SOUTHOLD~NY 11971
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING (MODULAR) WITH
COVERED FRONT PORCH AS APPLIED FOR
at premises located at 425
County Tax Map No. 473882 Section 075
PursUant to application dated DECEMBER
Building Inspector to expire on JUNE
SOUTH HABOR RD SOUTH/PEC
Block 0004 Lot No. 029
3, 2002 and approved by the
10, 2004.
Fee $ 638.40
Authorized Signature
ORIGINAL
Rev. 5/8/02
Form No. Ii
TOWN OF SOUTttOLD
BUILDING DEPARTMENT
TOWN ~tALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUPANCY
This'application must be f~lted in hy typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use:
I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval f~0m Health Dept. of water supply and sewemge-dispnsal (S-9 form).
3. Approval o~eI¢ctrieal insfallafion from Board of Fire Underwriters.
4. Sw0m sta?~ent frompl..~mber ,ce .~.ing that ~e solder used in system contains less than 2/10 of i % lead.
5. commerc~ b~i~I~,~'ng, iP,~ustr/at building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Plannii~g Boater, Approval of completed site plan requirements.
For existing hull ,d[!!~gs~{p~ior to Apri!9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accuraxe 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 bythe applicant. Ifa Certificate of Occupancy is
den/ed, the Binlding Inspector shall state the reasons therefor in writing to the applicant.
1~ Ceifificate of Occupancy - New dwg~fAing $25.00. Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming p0ol $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2 Certificate of Occupancy onPre-ex/sting Building - $100.00
Copy of Certificate of Occupancy - $.25
4. Updated Certificate of Occupancy - $50.00
Temporary Certificate of Ocenpancy - Residential $15.00. Commercial $15.00
Date. O.~- ~- O~
New Construction: ~x/~. Old or Pre-existing Building: ~ check one ~
Location of Property: %~- ' ..~'r'X~ ~.gx~.j~¢. ~ ._~I3~%Wk~L~
House No.
Owner or Owners of Property: ~p,k.~x-C>~L
Suffolk CountyTax Map No 1000, Section ~ ~
Street Hamlet
Block t-3k Lot "2_ ~
Subdivision
Permit No. ~ gq q L
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Date of Permit.
Filed Map.
Applicant:
Underwriters Approval:
Final Certificate:
Lot:
(check one)
Town Hall 53095 Main Road
P.O. Box 1179
Southold. New York 11971~0959
Fax (631) '765-9502
Telephone (631) 765-1802
BUILDING DEP~RTMENT
TOWN OF SOUTItOLD
CERTIFICATION
Date:
Building Permit No. ~ e ¢~
Ownor: Se/
(Please print)
Plurnber: ~1 ~t)/laO [C ~/~Z~O_ F2~-
~Please p~t)
~
I ce~fy that the solder used in the water supply system contains less t~ 2/10 of 1%
lead.
(Plumbers Signature)
Sworn to before me th/s / ~
dayof ~ , 20dSz
Notary Public, '_County
~,tary Public, State ~ New Yor~
BY THIS CERTIFICATE OF COMPL ANCE THE
YORK BOARD OF FIRE UNDERWRITER,$
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10E)38
CERTIFIES THAT
Upon the application of
upon premises owned by
Located at
WESTHAMP ELECTRIC COF~P,
RAy~0ND NO~MoYLE
33 SUNSET AVE, WEST HAMPTON
BEACH NY t 1978
425 SOUTH HARBOR ROAD SOUTHOLD, NY 11,971
8ALyATORE CATAPAbl O
4~25 SO~H HARBOR RO~
SOUTHOLD, NY 11971:
1133418 Certificate Number: 1133418
;action: Block: Lot: Building Permit: BDC: 1~11
Described ~s a Residential occupancy, wherein the premises electrical ~stem consisting of
devices and wiring, described below, located in/on the premises at:
Basement, F/rst Floor, Second Floor; Outside,
was inspected in accordance with the National Electrical Code and the detail of the installa,~on, as set forth below, was
found to be in compliance therewith on the 24th Day of Jmae, 2003.
Name ~ Rate Rating Circuit TYpe
Miscellaneous
modu/ar house
N.Y. State approYal#i9-20296
mt'g-Apex Homes
serial # 7594
Alarm and Emergency Equipment
Sensor 1 0 Carbon Monoxide
Appliances and Accessories
Furnace 1 0 Gas
Wiring and Devices
Receptacle 1 0 General Purpose
Switch 3 0 General Purpose
Fixture 4 0 Incandescent
Receptacle 1 0 20 amp Latmdry
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 cb seal
Meters: 1
1 of 1
This certificate may not be altered in any way and is validated only by the presence cfa raised seal at the location indicated.
January 23. 2003
GEORGE B. MICHOS, P.E.
101 LongTellow Lane, Port Jefferson, NY 11777
John M1 Boufis
Building Inspector
Town of Southold
Southold Tow~ Halt
'53095 Main Road
P.O. Box 1179
Soutbofd~ NY 11971-I 179
REF: Bu tdinp Perm t #28996 Z - 425 South Harbor Road - SCTM 1000-75-04-29
i certify that the entire foundation installed on this property conforms to the plans
approved by me for construction, as well as proper septic removal, parging and damp-
proofing.
Sincerely,
C~,q?~e BMichos, P.E.
OWNER
LAND IMP.
TOTAL
TOWN OF SOUTHOLD PROPERTY RECORD CARD
STREET
ACR.
TYPE OF BLD.
PROP, CLASS
DATE
Soo
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
TILLABLE
WOODLAND
ME/~DOWLAND
HOUSE/LOT
TOTAL
D£O'-64-L-~02 ~.6; ¢:3
2A7 Us .f~i~*a7, $22 N~
Ivii~ldlebut~ PA 17~2
~3~: 1Vi ~16~97-803 Agprov~i$~xtension
I~ 1 ~6~02q)28 F.a~rgy ModR~catio~
D~r t~' Ha~s:
3.This ~x,~k,~;~,,~ ~21 ~xp~ ~ E)ec~lm~h~ ~0, 20{}2.
cc;,F,cS CoO,~rat~n. M~'. ~ ~,~n~'
Applicant/ ~'~
Amhitecff
Engineer:
SCTM ~:
District: 1,00~ Section:
I.ocalioll:
Single & separate Required
certification: (Yes / No}
[Fron( Y~rd ~,O __ Proposed: ~9
Project Description:
Date
Reviewed:
Date
Submitted:
Subdivision
Name: /d/g/a"'*~'-~ ~aa,-,~z
Permit
AGENCI'I~,PI~RMITS
REQUIRED FOR REVIEW N.A.
Suffolk County Health' Dept,
New York State D, E. C.
Town Truste,~s
Town Zoning Board approval:
Town Planning Board approval.~/o/
Flood Plane Elevation ???
Flood Zone: ~ .5(
NO
Note :
Town Df Sauthold
P.O Box 1179
Southold, NY 11971
* * * RECEIPT * * *
Date: 12/03/02
Transaction(s):
Septic Permit- Construct - Resid.
Receipt~:
0
Subtotal
$10.00
Cash
Total Paid:
$1'0.00
Name:
Catapano, Sal
P O Box 1225
Cutchogue, NY 11935
Clerk ID: LINDAC Internal ID: 64362
765-1802
BUILDING DEPT.
[ ]FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
765-1802
BUILDING DEPT.
~ INSPECTION
[[ ~FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING [ ] FINAL
[ ] FIR~&CHIMNEY
DATE
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] ROUGH PLBG.
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ]~TION
[;~INAL
[]FIREPLACE&CHIMNEY
R.ARKS:
DATE
INSPECTOR
PL~G
CODE
TgWN OF SOt THOLD
B DiNG DEPARTMEN'[
TOWN HALL
SOUTHOLD, NY 11971
BUILDING PERMIT APPIZCATION CHECKLIST:
Do you have or need the following, before applying
Board of Health
3 sets of Building Plan~
Survey
Check
Septic Form
N.Y.S.D.E.C.
Tras~ees
Examined 0/~ : 20¢ C-
Approved ~ :3~f t o., 20 (252--
: Disapproved' a/c
Building InspecTor
,APPLICATION FOR BUILDING PERMIT
Date
,2002.
INSTRUC;rlONS
a. Tb/s apphcation MUST be cv~gletely rifled in by typewriter or in ink and submitted to the Building Inspector with 3
sets of plans, accurate plot plan to sale. Fee accord/ng to schedule.
b. Plol plan showing location of lot and of buildings on preaxaises, relationship to adjoining premise~ or public streets or
areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this application.
c. The work covered by th/s application may ~5ot be commenced before issuance of Building Perm/t.
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/n whole or in part for any purpose whatever until a Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Buiidmg Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinauce of the Town of Southold, Suffolk County, New York~ and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, ac~ditions, or alterations or for removal or demolition as herein described. The
applicant agrees m comply with all applicable laws, ord~-uances, bufld/ng code, h~psing code, and regulations, and to admit
authorized inspectors ou premises and in building for necessary hispeetions. ~ i'~ ~ ,~ ' ·
~ ~M'gigna~e of applicant o~name, ifa corpom~oa)
(Mailiu~ address of applicant)
State whether applicant' is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Builders License No.
Plumbers License No.
Electricians License No.
Name of owner of premises ~gx~-xJi%'X 0~'"~ C~W~i~i',DKD
(as on. the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Na~ e and title of corporate officer)
Other Trade's License No. /o[~j
1. 'Location of land on which proposed work will be done:
House Number Street · Hamlet
County TaXMap 1~o. 1000 Section. ~5 Block 4 ~I~t
Subdivision Filed Map No. 'Lot i
State existing use and occupancy of premises and intended use and occupancy of proposed comtrucfion: a. Existing use and occupancy Vo.o~
3. Nature of work (check Which:applicable): New Building ~ Addition Alteration
Repair Removal Demolition Other Work
Estimated Cost ~1 lO~(>OO Fee
If dwelling, r~mnber of dwelling units
If garage, number of cars ~JI ~
(Description)
(to be paid on filiug this application)
Number of dwelling units on each flooi l.J[/~
6. If business, commercial ormixed occupancy, specify nature and extent of each type of use. M//2k
7. Dimensions of.existing structures, if any: Front /~]~q Rear Depth_
Height ~ Number of Stories
Dimensions of same.sumcture with alterations or additions: From ~] ~
Depth. Height. Number of Stories
Rear
8. Dimensions of entire new construction: From ~2~>'-O" Rear ~.~,~0 ~ Depth
Height 2g~'-lO~ Number of Stories ~ ~o1
9. Size of lot: From i~fi rO 'Rear .|q4-~ Depth 492 ~{ /
10. DateofPurchase a 'ij~ lC>. Name ofFormer Owner ,~,_~:,TO~"z~
t 1. Zone or use district in which premises are situated
Names of Owner of premises
Name of Architect ._~.ocqe.
Name of Conucactor 0-~10'k~[
12. Does proposed construction violate any zoning law; ordinance or regulation:
13. Will lot be recgraded CIO Will excess fill be removed from premises: YES
14.
Address
~fe~S Address ~o~
.~ ~[9, Address
15. Is this property within 300 feet of a tidal wetland? *YES NO
· tF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIKED
16. Provide survey, indicate scope of project, to scale, with d/stances to property lines.
t 7. If elevation at any point, on property is at 10 feet or below, must provide topographica2 data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF )
~ I_.x/~c~'x~,~ ~ C ¢xW'~'~'~ being duly sworn, deposes and says that (s)he is the apphcant
(Name of individual signing contract) above named,
(S)He is the ~
(Contractor, Agent, Corporate Office~, em.)
of said owner or owners, and is duly author/zed to perform or have performed the said work and to make and file this application;
that ail statements contained in this application are tree to the best of his knowledge and belief; and that the work will be
performed in the rn~nner set forth in the application filed therewith.
SworrA to before me this,/x,
Signature of A~l~licant
FI.EVA TIONS ARE' REF £RI-' NCED
7'0 AN A,'~SUMF. D D,~ 'FUM.
,.. -~' ~, ,:- ' -~'~'" '~:~-.-'~ I'~ ~ !'
n.~ ~ i~.[z.-' F,r*:~ - '. ~ · ~;~.-..~C;e ~'' ~,~ "~' ~ . '-" ..'"'
~ ~ ' ' [ " - " ~' ~ ~l~u[3' -~0'- ~/ -' '-I .. · ..- .~.
TOWN~_~ ~ ~ ~ '" '~ '~' ~'
SUFFOLK C % g ~"'- - .r . o~ .-' .. --
1000 - 75 ~ - ..~" ~1~ . ::.
~'~ k .. . .' '.: ,... !..',,.'/ ...... ,-.
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,., ' ;': - ?,'~1~" LOT NUMBfi~.¢ R~?';q~ rU MAP
. "~'~
- ~-: : ............ OF MINOR S~BDIVl.~ilON OF ':
A~EA
ft.
....... ~ -- - ~ - ' :: ' · · .'Cg l~PA'NO[ FIL'ED'IN..TNE' SUFFOLK
': :' ' '' ; ' ' ~OONTY:CL~RK~S. OKFIC~- 0~. -" "
a~t~ ~c rE~,o.~ 9~ ~:>~rtot~ ro r.~, ....... ~m familiar ~i1~ 1~ ~TANDA~O~' FO~-'~i'F'~;%JVAt' ~TUN~ 25~ Igg~ ~S.FILE NO. 92~' ...-..I ' ,
OF $ECT!gN 780~ OF T!tC N~ }'ON~ 8] F;QtC RI IPTI M ' - ' ' ' ' .... '"'" ....
OF
SUBSURF/.,?E
H~'REON ARE VALD FOR Ttl/E M~P ~ND ?,:'::~);~ ~OoAL SYSTEMS FOR SINGLE F~M//_ Y RE'SiDENCES
·AID MAP OR CO,lES BEAR ..... ¢;~J w/ll ob/de by ihe r:onditions ~et fcdfi ~.1 v one on lbo
AD2f;70.~'AI.L Y ~'~ =20~PL Y
.~U. ET ~E USED JJY' ANY AND ALI.
O!r ANOTH~'R SURVEYOR~ M~t~ ' g~' 90~'-~ "" '; ..........
~ "- . :. . . . -~ ,.. ... . ~97[... .. ,.
80, O22
't'2.09 Or
TO CO.~IPL Y
pOLE
~.~:o
~ ~,~0
~, .
~1ND CONSTRUCT/ON OF SU'BEU~AL:' ,~.~:_
DiSPOS~L SYSTEMS FOB SINGLE F,~-?- Y
. . .~.r .. fln~ O~
permit f~ qunslruct. '
r Y
"MAP
vACAN'T
56'
wAY
LIC. NO. 49~18
- 17'97
The /ocel/ons of wells end cesspools
Shown hereon are from f/eld observe/ions
ond or from dele ob/o/ned from others.
E£EVA TIONS ARE REFERENCED
TO AN ASSUMED DA TUM.
SURVEY OF PROPERTY
A T SOUTHOLD
TOWN OF SOUTHOLD
SUFFOLK COUNTY, gl. Y
1oo0
SCALE. 1" = 50' JUL Y 31, 2002
OCT. ~B~
Dec .~, ~oo'Z
AREA = 80~022 sq ft. or 1.8370 acres
ANY AL TERA T/ON OR ADI)IITON TO THIS SURVEY l$ A VIOLA T/ON
OF' SECTION 7'E09 OF THE NEW YORK ,~TA TE ¢DUCA TIO~
~XCEPT A~ P~R ~ECTtON ~09 - $UBDtVI~Idk ALL ~ER TIFICA TIONE
EAID MAP'OR ~8 ~R TH~ IMPRESSED E~AL OF THE ~URV~YOR
AD~ITIONALL Y TO COMPLY F/TH SAD LA~ TERM ' AL TERED BY '
~UST BE USED BY A~Y ~N~ ALL S~RV~YORE, UTI~IZIN~
OF ~ANOTHER SURVEYOR $ MAP. TERMS SU
f' c.P,
N. 81°4°'2°
r
n ~ r
I d
NOTE~ LOT NUMBERS REFER TO "MAP
EASEMENT ARE~ -~ ~6~2./,~ sq, fl:
I om f~millor w/lb /he STANDARDS F~_E~ A'PPN~VAL
AND CONSTRUCTION OF SUBSURFACE~ ~E~A~
DISPOSAL SYSTEMS FOR, SINGLE FA~ ? RESIDENCES
Dod will ob/de bI 'lbo oOOdlliO~ ~ej forl~ lhopel~ 008 on lbo
pormil ID con~Irocl. '~
,Y.$. LIC. NO. 496/8
7E~5 - 179Z ~
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~l
ED
]S
[3
0
P~vn~X Numbe~
MECcheck COmpliance Report
New York State Energy Conserwt£ion Construction Code
Data fd~e: ~ogram ~e~Check~Ccheck%t 1020 cck
TPt'LE~ QN- 11020~
COUNTY: Suffolk
STATE: New York
HI)D: 5750
COI~'ISTP./UCTIOIq TYPE: Detached 1 er 2
H~T[N'G ~'PE: Non-Electric
DA~: 1~/22/02
DATE OF ~L~S: 10/22/02
WELEMOD HO~S CO~, CAT~O (2)
COMPANY' ~FO~ATION:
APEX ~ON~.S INC.
247 USHWY 522 N. ~PP~OVAL L.~MiTED
~DDLEBI~G, PA. 17842 .......
.7 ?an?
COMPLIANCE: Passes
M~ UA = 290
Yo~ Ho~ = 254
~2.4% B~'[,~ Th~ Code
Gros~ GI~
Area or Cavi~ Co~t. or Door
~erhmr K-Value g-V~ue U-Factor UA
Ceilh~g 1: F[~t Ceiling or Scissor Truss 784 30~0 0.0 27
Wa~ h Wood From, 24" o .c, 1781 19,0 0.0 93
Window h Vinyl 7rame:Double P~ wi~ Low-E 187 0.490
Door h Glas~ 20 0.260 5
Floor 1: Ali-Wood lo~T~:Ovcr Unconditioned Space 784 19.0 0.0 37
COMPLIANCE STATBMENT: Thc proposed buil~g repm~m~ed ~ ~s doemem is ~omi~t~m wi~ ~c buil~g
spccfficafions, a~ o~er eaXculation~ s~b~tmd with ~ pen~ applica~om ~e proposed ~yst=~ have been desi~*d
New York S~te Energy Come.etlon Cons~cfion Code reqmr~ms. ~en a ~e~t~d Deslgu
~igned ~ page, they are attesting ~at to ~e be~t of his~ei ~owledge, belief, and p~ofes~ioml jud~enl, such
spot.cabins ~ in co~liance M~h tiffs Code
CODES DIOIStON 518 486 g487 ='.~U./E_
~eptembe~ 27, 2002
Mr. Marry lqarris. Exeemi've Director
Apex Homes., inc.
24'7 LrS Highway, 522 Norm
Mi~lddleburg; PA 17842
¥'IA FACSLMILE TI~a._NS1VIITTAL
RE: M 1168-97-1103 Approved System Ext~asion
per M 1168-02-028 Energy Modiffmation
Dear Mr Harris:
Your request [or an extension of the expiration date olfactory Manufactured Home Approval ne,
M 1168-97-003 app{icable to one and two family dwellings, is hereby granted subject m the conditions of the
original approval and the following:
l. A copy of this extension letter shall accompany each factory manufacturec[ structure plans derived fi'om an
approved system~hat are submitted to localjurisdicxion in connection with a building permit application and be
deemed a dupIicam original.
2. Documentation for each faotory manufaotumd structure showing compliance with all peffinent requirements
of the Energy Conservation Conztruction Code of New York State - 2002 Edition, shall be submitted to the local
code ea;breeraem official as part of the building permi~ appiicariom
3.This extension will expire~on~lqo.vember%';-, 20132~
In addition, the, manufa=tUr:~-shall be responsible for aSsuring that house* or Components bearing insignias issued
durin~ thc emension period also comply with the current requirements of the NYS Un[form F~re Prevention and Building
Code.
i am hopeful that you will find this extension of assistance.
/~ VeU }ruly yourjz~.- .
Divis{on of Code Enforcement and Administration
cc; ?FS Corporat~on, lyre.. Rick Wgnner
File 02-028XL2.wpd
TE]T~L P. Gi