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HomeMy WebLinkAbout29293-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29938 Date: 03/16/04 THIS CERTIFIES that the building RENOVATION Location of Property: 56861 MAIN RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 63 Block 3 Lot 17.4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 9, 2003 pursuant to which Building Permit No. 29293-Z dated APRIL 17, 2003 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 RENOVATE BASEMENT IN EXISTING SINGLE FAMILY DWELLING FOR A FAMILY ROOM, ONE BEDROOM, SEWING ROOM & BATHROOM AS APPLIED FOR "AS BUILT" & AS PER CERTIFICATION OF JOSEPH FISCHETTI, P.E. DATED 12/28/03 . The certificate is issued to VINCENT & ILEANA DOLOMITE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1195944 02/24/04 PLUMBERS CERTIFICATION DATED 01/26/04 PECONIC PLUMB.&HEATING AuthojZzed Signa re 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. 29293 Z Date APRIL 17, 2003 Permission is hereby granted to: VINCENT & ILEANA DOLOMITE PO BOX 1443 SOUTHOLD,NY 11971 for AS BUILT ALTERATIONS TO AN EXISTING BASEMENT PRIOR TO JAN. 1, 2003 AS APPLIED FOR at premises located at 56861 MAIN RD SOUTHOLD County Tax Map No. 473889 Section 063 Block 0003 Lot No. 017 . 004 pursuant to application dated APRIL 9, 2003 and approved by the Building Inspector to expire on OCTOBER 17, 2004 . Fee $ 300 . 00 ' A tho gnature ORIGINAL Rev. 5/8/02 Form No.6 r TOWN OF SOUTHOLD BUILDING 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 Department with the following: 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. Approval 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. B. 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 topographic features. 2. A properly completed application and consent to inspect signed by the applicant.If a 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- $100.00 3. Copy of Certificate of Occupancy-$.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00,Commercial $15.00 Date. 1,!� IM/12 �5 New Construction: O rPre-existing Building: ✓ (check one) Location of Property: 5LJ_ � o� House Noo.� Street Hamlet Owner or Owners of Property: v 1 ►'1 C e r)+ e Ce Y1 A- Suffolk County Tax Map No 1000, Section Block 03 Lot 1-7 . Subdivision (n+) S t ►--yl +C I C-V Filed Map. 0<�R_ Lot: Permit No. _.! C4 q Date of Permit. JJL3 Applicant: r In c-en4 z' z'l c a-,-, a o 1 o��- Health Dept. Approval: Underwriters Approval: - Planning Board Approval: / Request for: Tennorary Certificate Fina Certificate. V (check one) Fee Submitted: $ u� Applicant Signature � bs� 7l c o-Z�a q 138" o�$uFFo�,�vv Town Hall,53095 Main RoadQ Fax(631)765-9502 P.O.Box 1179 ��0• 0�� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: Building Permit No. Owner: o 10�lie (please print) Plumber: ��°� ©✓i t c-- P4-1q (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. zz (Plumbers Si Sworn to before me this '26 da of 20� L Notary Public, County VICKI L.LOPER Notary Puoli;,')tate of New York No OIL06070081 puablied in Suff n Com 0 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 BUREAU OF ELECTRICITY 5 40 FULTON STREET - NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 5 Upon the application of upon premises owned by 5 5 MR&MRS DOLOMITE MR& MRS DOLOMITE56861 ROUTE 25 56861 5 5 E 25 SOUTHOLD, NY 11971 SOUTHOLD, NY 11971 5 5 5 Located at 56861 ROUTE 25 SOUTHOLD, NY 11971 5 5 SApplication Number. 1195944 Certificate Number: 1195944 5 5 Section: Block: Lot: Building Permit: BDC: ns11 S 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: 5 Basement, S S 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was Sfound to be in compliance therewith on the 24th Day of February,2004. 5 Name QTY Rate Ratin Circuit Type 5 Miscellaneous 5 as built1985 sections open for 5 inspection Alarm and Emergency Equipment Sensor 1 0 Smoke 5 Appliances and Accessories 5 Exhaust Fan 1 0 F.H.P. 5 Wiring and Devices Receptacle 9 0 General Purpose 5 Switch 7 0 General Purpose 5 Fixture 7 0 Incandescent SReceptacle 1 0 GFCI 5 A visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to be C,SJ in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5 5 seal 5 S 1 of 1 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. 5 v PROFESSIONAL ENGINEER E 1725 HOBART ROAD I PO Box 616, SOUTHOLD, NEW YORK 11971 y TEL 631-765-2954 • FAX 631-614-3516 e-mail: joseph@fischetti.com Date: December 28, 2003 Reference: Dolomite Southold Building Department Main Road Southold,NY 11971 Dear Sir, This letter is in reference to the basement at 56861 Main Road and a letter to Mr. Thomas McCarthy from Mr. Mark Blanke of the State of New York dated July 17, 2003 and attached. I inspected the premises on November 14, 2003 and found the cooking facilities removed from the basement at that time. I certify the renovations for the basement and drawings last revised 11/28/03 are all in accordance with New York State Building Codes and Mr. Blank's letter of July 17, 2003. P •� ��FEgStO�'� Joseph Fischetti, P.E. Dolomite Cati6©tion 2.doc 01'�-q3 PROFESSIONAL ENGINEER 1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971 TEL 631-765-2954 • FAX 631-614-3516 • e-mail: joseph@fischetti.com Date: December 3, 2003 Reference: Dolomite Southold Building Department Main Road Southold,NY 11971 Dear Sir, With reference to the basement at 56861 Main Road and a letter to Mr. Thomas McCarthy from Mr. Mark Blanke of the State of New York dated July 17, 2003 and attached, I certify the renovations for the basement and drawings last revised 11/28/03 are all in accordance with New York State Building Codes. P O� N yl'V y W 2 Z (� 'O9 S310t'1P�' UECi020� Joseph Fischetti, P.E. Dolomite C.,if—ti-An 60 L4/2003 15:24 6317655816 MCCARTHY MANAGEMENT PAGE 1 STATE of NEw YORK iaEr'A ' MENT OF STATE 41 STATE STRM ALBANY, NY 12 P-3 1-0001 GcoaoE E, pATAKI Clawav ft FUNDY A. 0Am1CL;y sal=mw OI 9M1R July 17,2003 Thonus McCarthy McCarthy Maoagoment,Inc. 46520 Route 48 Southold,Now York 11971 Dear Mr.McCarthy: This is in response to your request for an opinion regarding a basement plan layout that was faxed to mo,and the requirement of section pertaining 11310.1 of the Residential Code of New York(RCNYS) to emergency escape and rescue openings. 1 Section 8310.1 requires emergency escape and rescue openings from basements with habitable space and from sleeping rooms. The plan shows part of a basem family room,sewing room and bedroom. ent that includes a bathroom,kitchen, You asked whether the sewing room,labeled as a nonsleeping room,could exist without an escape and rescue opening. Since this space is not proposed for sleeping, it is not required to have an escape and rescue opening directly to the exterior. However,since both the sewing and family rooms are considered habitable space,an escape and rescue opening is required from the basement, The plan shows that the basement is equipped with only one(1)emergency escape and rescue door opening leading directly from the bedroom(sleeping room)to an exterior stair. In my opinion,this would satisfy the escape and rescue opening requirement for both the bedroom and basement provided that the door to the bedroom is not equipped with a lock. If you have any questions,I can be reached at(51 S)474.4073. Sincerely, DEC 1 0 2003 Mark Blanke Assistant Director for Technical Services MB/mdb Codes Division WWW.000.6TATE.W.U4 • E-m : INF oOoos.srArE.Hv.us M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: IVW g Y7 p DATE � � INSPECTO 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ FINAL [ ] FIREPLACE 8 CHIMNEY REMARKS: . �,- .s .. � - JAWDATE /40/2 7 03 INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS q b FOUNDATION(1ST) h y ------------------------------------ R C FOUNDATION(2ND) n+ ,m Z �j O ROUGH FRAMING& H PLUMBING d1174 weQ.F-L / �- r INSULATION PER N.Y. y STATE ENERGY CODE I VVI FINAL n ADDITIONAL COMMENTS v io Z l C6lry �a�/� �,� C�c� �s� 3 s +0 D 6 �� �7 J y �J p x r� H x d t�7 b y 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: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Z y '� Survey www. northfork.net/Southold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined �� /7 ,20 3 Contact: Approved ` 7 ,20 3 o: Disapproved a/c OZPhone: Expiration / 20� w — - 1 Building Inspe t 9 20 APPLICATION FOR BUILDING PERMIT - Date `t' , 20 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 the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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. Q -'VtF l _ (Signa e of ap&cE o a6wle.if a corporation) Sc),_ —f)o VI (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder 'i -r-C�J Name of owner of p ises V 1 ,"0 e r�� � J _) �a�C�: ) o rpt !�P tax roll or latest deed) If applicant 's orati i duly authorized officer (Name and tigfbf corporate offic r) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land-op which pro osed work will be;done: C, e Jyb)L2 House Number Street Hamlet County Tax Map No. 1000 Section _Block Subdivision j�h n 5 I k_y� , � ', n tj Filed Map No. 1'L�V� Ltrl' `✓�J (Name) ;.: nL <<: 2. State existing use and occupancy of premises anin tided use Occup c of proposed construction: a. Existing use and occupancy /J C b. Intended use and occupancy , 3. Nature of work(check which applicable): New Building Addition Alt'6tation Repair A I Removal Demolition Other Work (50 (Description) 4. Estimated Cost 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. 7. Dimensions of x'jtmg structures, if any: Front Rear Depth 3 Height c, Number of Stories_ Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Storieth 8. Dimensions of entire new construction: Front Rear Depth Height Number of Stories 9. Size of lot: Front 5 Rear rK Depth )S- 10. S-10. Date of Purchase / Name of F erOwner i ti vL.L.0-LC /L 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO ✓ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises U( 1. ,,-I Addres&50S - I ZV Phone No. E266-- QY 3 Name of Architect cr,, )--) h Address `7 1C_f Phone No Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO V * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAYBE IjEQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. 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) S: COUNTY OF a & I I being duly sworn, deposes and says that(s)he is the applicant (Name of individual llini contract)above n ed, (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. S rn to before me this ay of 20_Q-� Notary Public ture Applican Ruth Love %awy Public State of New York No. 01 L06054063 Ouaiified in Suffolk County commission Expires March 5,20 Or_ncJ - ` VERIFY ALL SAS VUme' C6u5T12Ucn01,( IN FIELD - AC01-fI0gAL. CE"rICA-1`16N MAY Be: REQUIRE UNDERWRITERS CERTIFICATE REQUIRED APPROVED AS NOTED DATE: 7 B.P.Mcf9R93Z �,r�,-I FEE: BY: --a_ NOTIFY BUILDING DEPARTMENT AT 765-1802 SAM TO 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 3 PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE rm-i`cA REQUIREMENTS OF THE CODES OF NEW 2610 YORK STATE, NOT RESPONSIBLE FOR — --- --- �� � DESIGN OR CONSTRUCTION ERRORS. COMPLY WITH ALL CODES OF NEW YORK STATE 8 TOWN CODES AS REQUIRED AND CONDITIONS OF NIA SOUTHOLD TOWN ZBA Ell N t LJ N R NI I4 SOUTHOLD TOWN PLANNING BOARD I SOUTHOLD TOWN TRUSTEES N N.Y.S.DEC OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE N � 1 OF OCCUPANCY ALL CONSTRUCTION SHALL I MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE. I PLUMBER CERTIFICATION PLUMBING ON LEAD CONTENT BEFORE ALL PLUMBING WASTE � 6 WATER LINES NEED CER TIFICA TE OF OCCUPANCY TE STING BEFORE COVERING - - - SOLDER USED IN WATER t 1 fl _ r �I. ---- SUPPLY SYSTEM CANNOT PROVIDE OPENINGS FOR \ --- ---I EXCEED 2(10 OF 1%LEAD. EMERGENCY ESCAPE AS REQUIRED BY PART. 714 OF N.Y. STATE BUILDING CODE. PROVIDE ANTI-SCALD AND/011 THERMAL CK - — DEVICES AS TO PART.T 02.6(K) N.Y. STATE BUILDING CODE. II � •-- --------- --------- if copper tubing is Used wY0 for water distributing Ha fr 9 system; piping shall be of types K or L oniv UNDERWRITERS CERTIFICATE i-IOrt": •• f��+�iE-I''��I--� � IN jF:12Io(�' I,•J,aLt.S� �,p-Tllf�l-1 . ->1zE Ilf-�iJ,l 1 REQUIRED F.06 Essro�y��o _ PweTiw_LJ r FL_oPL�I-I �IUGt Nr � II �GNa IJ�7IpMIF )<oe,tnl R 25 Aim Jrl-••I.J.- I. t, Y y 6CALE:g411011 APPROVE.BY: DRAWN DY DATE �i���Mr�-I T- I^16L1_ �- II-II�HING DRAWINMMG NUMBER IFf/J - r� F 1 h . �o r-1 rJirl�"'ca �SCI^JI' .{ 2Gr"r 2f?�In - i i 4,v w ,4 U 13r r (2 Nl 'j C -- I �: l.T. pr" tra.7[a x w, pjrT �- I _ 67 LfA�t U WPP' �2 °A} ';F Jo 1/1 iIP' it � i _.y I � - — ---- •� - . ._•__-_.._ --._-___,.--,..�! IIIc , ' OF NE I II i II t m { .� ._.�_...__�....._... 2 0. 0525 ssilo TOCLp, INrw1'ept � �NiRH. .� 36v ?`/s1{ tz aJ L-, 23 HV L-42 1-4y SCALE e�, 111" APINOWED SYDRAWN BY DATE: Z- [Q• [7 J DIIAWINO NUM�lP ! �A 1 CA 2 1� t 17 i j �`k.,,.v,...._........._ ... _ ��..,.t—"-. ' f'%�14..f:.4,✓�i`:`^,�t�''� � 'u'.�''-+� L..�,Y ti•'�./�`r,,. `u. .., �f�-' �� I t' f --- s C L.. i C'Mo \tr r p/� EW sc - - DEC 10 2003 s �. •Q$2 p49 Q42 �% �" t r 1 MlPfZ' / Nf'H �� � ;�''��i'.:+ 'M' !"" �` �".i 13�. �"�" ���="?� �•1....,k;_,�" .��'' `�� ,.,.'�"I:p a.�i:..� �'�G-�` �,.� 2,)Y� � ' ��'�=�s"�'•` 1 G�t� [.�0'.' r ,^r�' � $GALE: �r ; APPROVED 9Y DRAWN 9Y DATE: ^ 4,0—Cl ev r X1..3..._ DRAVNH�+tf�,l�I�+tt1"aR E