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HomeMy WebLinkAbout28962-Z FORM NO. 4 TOWN OF SOUTHOLD . BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z 30145 Date: 04/20/04 THIS CERTIFIES that the building ADDITION & ALTERATION 1 'Location of Property: 18915 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) ('STREET) (HAMLET) 'County Tax Map No. 4738.89 Section 51 Block 1 Lot 15 .Subdivision Filed Map No. Lot No. u i :conforms substantially to the Application for Building Permit heretofore 'rfiled in this office dated DECEMBER 2, 2002 pursuant to which Building Permit No. 28962-Z dated DECEMBER 2, 2002 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 AND ALTERATION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JAMES M LIEBL & LINDA COUTURE (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1108500 02/26/03 PLUMBERS CERTIFICATION DATED N/A Authoriz d ignatu 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) EY2MTT 'NO 28962 Z Date DECEMBER 2 , 2002 f Permission is hereby granted to: JAMES LIEBL PO BOX 1338 SOUTHOLD,NY 11971 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS a APPLIED FOR i at premises located at 18915 SOUNDVIEW AVE SOUTHOLD County Tax Map No. 473589 Section 051 Block 0001 Lot No. 015 pursuant to application dated DECEMBER 2 , 2002 and approved by the i' Building Inspector to expire on JUNE 2 , 2004 . �I Fee $ 150 . 00 I A h ized Signature ORIGINAL 1 Rev. 5/8/02 i Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT ' TOWN FALL 1 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This'apphcationmust be filled in by typewriter or ink and submitted to the Building Department lie MWwu , Z C v S j A. For new building or new use. pp 1. Final survey of property with accurate location of all buildings,property lines,streets, ail �'asuaatual`ol 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. Commeroial building,industrial building,multiple residences and similar buildings and installations, a certificate of Code Compliance from architect onengineer responsible for the building. 6. Submit)Manning hoard Approval of completed site plan requirements. B, For existing buildings (prior to April 9, 1 457) non-conforming uses, or buildings and"pre-existing" land uses: 1 1. Accurate survey of property showing all property lines, streets, building and anusual natural or topographic features- 1 eatures2. Apropecly completed application and consent to inspect signed by the applicant.If a Certificate of Occupancy is I 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, I Swirnriung pool $25.00, Accessory building 525.00,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 Occupancv - $50.00 5. Temporary Certificate of Occupancy -Residential $15.00, Commercial $15.00 Date. New Construction: Old or Pre-existing Building: (check one) Location of Property: /°Cr5F/� Z-JXj�v/tea eey }'!i•�'. � �z,� � House No. Street Hamlet Owner or Owners of Property: ZIP Suffolk County Tax Map No 1000, Section Block / Lot / Subdivision Filed Map. Lot: Permit No. Date of Permit: Applicant: d3S L%B O Health Dept. Approval: Underwriters Approval: e_�� Planning Board Approval: / Request for: Temporary Certificate Final Certificate: ✓ (check one) Fee Submitted: $ o r3 Applicant Signature D � Pr� �II I J�rr_frJI :1JP@PPLPLPd-LJ'L3PLLPLrLPJl::!IfP-LPLIE!PLPrro@PPPr..PLJLAMf[JPrJ�rl�rJ�r��frJ�rJ iPrJ�rJ�r�rJ�rJJ�� 0; CU BY THIS CERTIFICATE IF OF C ONIPLIANCE THE ISI C NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT 5' Upon the application of upon premises owned by JAMES LIEBL JAMES LIEi3L P.O. BX 1338 SOUTHOLD NY 11971 SOUTHO DN0 NY 711 5 Located at 18915 SOUNDVIEW AVE. SOUTHOLD, NY 11971 Application Number:. 1108500 Certificate Number; 1108500 Section: 51 Block: 1 Lot: 15 Building Permit: BDC: NSI 1 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: Fust 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 26th Day of February,2003. Name OTY Rate Rating Circuit Type - �! Alarm and Emergency Equipment 5 Sensor 1 0 Smoke Wiring and Devices i i Receptacle 5 0 General Purpose Switch 3 0 General Purpose ` Fixture 6 0 Incandescent Dimmers 1 0 C5, Paddle Fan 1 0 5` Si 5� seal 1 of 1 7 This certificate maynot be altered in anyway and is validated only by the presence of a raised seal at the location irtlrcated. rJ�cPc rcl�c1 ar�[J[P[PrJ��PcrcPcl�rJ[f[r[PCPcPrJ�rJcfcJ��JrJ�[PrJ@J�Pr�r�r�r�[rrJ�cPrJ�cJ arJ�rJ�rJ�rJ�cPcJcJrJ�[PrJ�[J@J@P[JcPtP[J a[PrJ�rPr�clrJ�[P G 'k .fit r� •� � ' .�. /A�Y�}N`M1 i 'In• � ��.`•WfW f �1Ji 'jr� w �5X ��yA.. ,• f a 1 *It i wllj l y�Y � fVx03,Z • '� Y'y�a���t� A Iw f 7 a w - i 6, i ±k .� yl+r�• r 5Y , � Y Y .n` i � *4 J�/M1 . r 1 � _ '•nom!i 'i TOV1 N OF SOUTHOL® PROPERTY WOOCARS' OWNER .. _ m STREET VILLAGE DISTRICT SUB. LOT F RMER OW ER N . �., I E ,. ACRE GE %A TYPE OF BUILDfNG 2ES. I SEAS." I VL I FARM COMM. I IND. I CB. -�/ MISCf LAND IMP. TOTAL DATE REMARKS too 0th = a r . <3�a a ate , : , Form AcreValue Per Acre Value rilla1^ f iltoble ble 2 — 1 illable: 3 ----- Noodland t -- — swampland — — 3rushlagd, w — House Plot — } i i Total i I — I M i } I I I IMMM ' SIX4 1 M. Bldg. x _ Foundation c r Bath Extension ✓ asement Floors Extension Ext. Walls ,�-' . ✓rr;° . Interior Finish Extension Fire Place /y Heart 6 J - Porch Attic ! Porch Rooms lst Floor Patio Rooms 2nd Floor Garage Driveway - 0( jr} -. - - - SFJ,, _ . ENERGY CODE CALCULATIONS CHAPTER 5 SECTION 501 Detached One and Two Family Design Criteria 5750 Degree Days (For Non-Electric Heat) Zone 11B For: J4lhie.4 i t' Per: Pe,,,y /„,k, -" 23Z/ Dated: a i o ti SUBSYSTEM AREA DESIGN CODE DESIGN CODE tcull IV" UA UA_ Exterior Walls QJ 0, /2r 0.14 60 , 40 ,j 4 H Ceiling Roof /4 f 6.30 0.031 y. �f 7 S( ` L Floor Over unheated space /c} 9 0 .0_' 0.05 '/ • 'f 5 7. S Heated Stab On Grade 6.5 a Unheated Slab On Grade 4.5 'i '{ Basement Wall 0.1 -- Crawl Space Wall 0.06 NOTES: d 'Z 5 2 1 Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of section 5o I no mechanical systems and equipment including: j HVAC Equipment,HVAC Systems,Duct Systems,Ventilation Systems and Insulation of Piping Systems to meet requirements of Section 503 Service Water Heating Systems&Equipment to meet requirements of Section 504 Electrical&Lighting Systems&Equipment to meet requirements of Section 505 To the best of my knowledge, belief, & professional judgement, these plans are in compliance with the code. `��, °3z7 ` ti i /0- D` BUILDING PERMIT F'rX INER CHECK LIST DATE REVIEWED: Z,402 APPLICANT: DATE SUBMITTED: /i7z/02 SCTM#DISTRICT: 1,000, SECTION: ,BLOCK: ,LOT: STREET ADDRESS: , Y CITY: SUBDIVISION: PROJECT DESCRIPTION: 40/'7`/0/+1/ %� ✓ ESTIMATED PROJECT COST: ARCHITECT GINE a It c FAST TRACK? AL? SINGLE&SEPARATE CERTIFICATION-REQUIRED? NO NOTES: 'LOTS 40,OOOSb-100 Y+ Lot recognition,(CREATED bgfp e June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merges(A nonconforming at a y time after 7/1683 ZONING DISTRICT: CONFORMING? No REQ. LOT SIZE: ACT. LOT SIZE: Q. LOT COV_ S ACT. LOT COV. REQ. FRONT PROP. FRONT RE o � SACT. SIDE REQ.REAR ! ,®PROP. REAR _REQ. HL4GHT PROP. HEIGHT WATER FRONT? s° DESCRIPTION: ' PANEL #: I,Y rr FLOOD ZONE.—__ , APPROVALS REQUIRED SUFFOLK COUNTY HEALTH YES or (BED#):`DIE:—/—/— PERMIT#:R10- TOWN SEPTIC RECEIPT: NEW YORK STATE DEC: PIKE-DEC 9/1/75 YES SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES 0 se ®r o TOWN PLAN. BOARD APPROVAL: YES TOWN HISTORICAL PRE (SPLIA): YES 0 t NYS ENERGY: R NO EGRESS (18 H min ? 4 sq total) ---__�NT(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/o Z_ NOTES: I FEE STRUCTURE: FOUNDATION: SF I FIRST FLOOR: SF SECOND FLOOR: SF OTHER:_ SF WIT OTHER TOTAL TOTAL: Cif, SF FEE FEE FEE 1.: SF)-( SF)= SF X$—=$—+$—+$— $ S� i 2. (—SF)-( SF)= SFX$ =$ +$ +$ _$ I M-1802 BUILDING DEPT. SPECTION [ FOUNDATION IST [ ] ROUGH PLBG. ISI 1 ] FOUNDATION 2ND [ ] INSULATION ( ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: ', DATE ��� INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FUNDATION 2ND [ } INSULATION [ FRAMING [ ] FINAL [ } FIREPLACE & CHIMNEY REMARK : N' aegL� 262 �. DATE INSPECTO M-1802 BUILDING DEPT. INSPECTION ( ] FOUNDATION IST [ } ROU t ( } LBG. FOUNDATION 2ND NSULAIONT { ] FRAMING [ ] FILIAL [ ] FIREP C & CHIMNIEY REMARK I � DATE INSPECT ' i M-1802 BUILDING DEPT. 114SPECTION [ ] FOUNDATION 1ST [ ] DOUGH PLBG. [ ] FOUNDATION 2NQ1 LATION` [ ] FRAMING [;FINAL [ ] FIREPLACE $ CHIMNEY 117 A KS: 4� �I i DATE /� INSPE cp 765.1802 BUILDING DEPT. INSPECTION ] FOUNDATION 1 ST [ ] ROUGH PLBG. } FOUNDATION 2N» [ ] INSUL ON ] FRAMING [ AL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMAR ClW �1 i L 1 ' DATE INSPECTOR r t. MOIR s INSULA17ION PER N.Y. STATE ENERGY CODE r s BUR DI G DEPABT1tIM -- 7�y�yave orae ttie fvllo T� N`�HALL R" n,bmre apply SOVM40L]),NY 11971 Bo=dcq-H=W. � �s. fBrsfdmgklaas PERMUNO; _ 7 Scun h . . ..3pprpved Mail to: Disapproved a/c Pfione: ra 1 AITTACAMNFOR-RVMDINGPER. 'F Dare 20_ �f-.� - ,>PTSTRUCTIONS , This sets o f laps aPPircation MUST 50ak. 6cr accori intim byl�Pews$ei orui.mkaud sabmiited to tlW DU9 imp inspector With { F curate plot p]an to scale.Fee according to schedule. b.Piot plan showing location of lot and bwbv Z and waterways. Ongre�ses,reiationship.to lonzmggremiseS or Public st eeis c. The wozk covered by this apP7icaiionmaynotbe commenaed'beforeissaanoe ofBmldigg d.upon approval of this applice on,the P shadl be kept on t',se prenuses avazlable for' � �.Waissue aBzding Pemrit to't1w apph", S-acb a peim e No building shall be occupied or used ju 14vCrjaparthoM )r= 'is issued by the whole or P purpose what-sq-ever nan7 a Ccrtiuc4a,of 0ccupa B'��m+sPector. APPLIC.kTIONIS I31 REgyB.to the Buil Q Zone Or' �g Department for tiiy issuance of a d cinerea of the'Towii of B Pemut pursuan to the Regilaiaons, fortL, SmawkCpimty,NewY04 and other applicable constzuc ionofbundiap additions,oralii3rations`orfor removalof Lis, Ordinances or applicant agrees to comply with all applicable laws, ,bpildin demolition.as harem described. The aurh ized nsoeetors.gnPressesandis g ' oo > and to admit €mraecessax;,5�spec;aans. r - (S oOfapp&cautcinema,ifacoxporsaon) ieT/ie " addioss ofapp3itant) ' S""tate whether apphcmr is owner,Iessee,agent, =bto#, ,general cOuiractor, electrician,plumber or.builder Name of owner of premises (as on the tsx ron Or-W st deed) If applicant is a corporation, signature of duly authorized Ofi= (Naze and title of corporate officer) b Builders License'No. �2 /a `J ✓�/ Plumbers License No- Electricians License No. Other Trade's License No, 1. Location of land on which pi oposed.work will be done; House Number Street I3sanlet Couz*Tax map No, 1000 SCC, .f/ Block / Subdivision Lot /S' (N ) FHW map No. Lnt . 2: Stn ' " it acid;a pofpr sated &dw do egofpmposect ctio r a. 1;xisft ft and occdp&noy ,,•��Rll/Tt•� �z�s 1d :yG b. httedod_aseand occumoy e/e`•@J� I 3. Nature of�totk{deck w�ich:appiicable):New Btgdiig Addition Alteration- f Rgrair Rnovat Demolition Other Work _ (Description) 4. Estinn ed Cost Fee (to bepaidon filing his application) .. 5 if dwelling,number of dwelling unitsI Number of dwelling units on each floor j If garage, number of cars 6. Ifbzsiness commercgorznimed.00Mency;gpedi rmof rear•;r3estentofeachtypeof-use 7, Dimensions of existing stra#nres,if any Fmmt Rear_ Depth Height Number of Storie4_ Dimensions of same structure with alteratipm or addrdons: Front Rear Depth Heigtrt Number of Stories 8- Dimensions of estiCa new construction:Front , Rear Depth Height INumber of Stories 9 . .Size of lot' Front Ao Rear lo-O Depffi 10. Daae of Purchase ! l9- 93 ' NameofFoanetOwuer_tT� �d.rl' z�s' '-?'v2 Gk� 11. Zone or use district in'which premises ace situated . 12. Does proposed construction violate any zoning lata,ordinance or regulation: 13. Will tot be re p�aded .e/p WM exp f ll.lie rerooved,fivm premises NO .�--� vorr �er� 14 Names of Owner of nes U!�/SES Z /89i5� Sv��io<r�P$one No. e3l 7 I`roll Name O£AZChIteCt'�,v X LG•.y,�6�'/ .aY � gi.r .'fib •eipjr3*o Name of Contractor 'x � ''+ Phone O O YomeT �� .��rpddress r�aia<v��.� Phone NA: 6Ysp s r1/ .v 76. Is this proPertp within 100 feet of a tidal wetland?* ES NO • . IF YES, SOUTHOLD TOWN'TRUSTEES PER1tM MAY DE REQUR,ED 16, Provide survey,to scale,with actefouadatialr plan and distances to pzopertyhaes. 2 I. If elevation of anypo of on pxoperty i�at 10 feet or Below,mustppo ade topogr hjCat data on si cr ev. STATE OF NEW YORK} COUNTY O SS: . ( ame of±acs, b * °m deposes and g oordraet)abovcnamed saysthat(s)he is the apphcaut (S)He is the (Contractor,Agent,Corparate Officer, of said owner or owners,and is duly d to per orm ar}tate that a 1 s atements contained iu Phis application are irne to the tient of his W rn$and to made and file this application;. pezforned in the maaner'set forth in the application fled th t wjth. and t>efieF aril that the Wrork will be Scorn to before m,tbis day of NotargPablic Sigatare ofAppli xait { r JUMP S0�lND �OHB,� X �'lG.y �99Z p� 00,25' -"�� )I O.PDlvA2Y NILIi WAT�� / IV 84'0270..E AQEA N Q� KN It tia 4NJ 4 APP_POY/MATE _ j'yrl'----- "'S Y3 ov gcuFF .M.v' N-Y-S.D E,G. COAS L jj/j NAZnRO ZONE BouNOARy' Pee-/5,J99Z o SctL.�o /LOM M.sP on/ Fx..E sEr. .NaeA� 4f/, y T 7-lie7DWN OF Soy�Na LO � ROD Q W r We(Z tN y Q S Q �j f W tn. t> tQ3z ti `4 4 MCTAL SDWEW O W OT Q q O CA 3Q K 4 •o Q 0 w 4s ywe� � Cek�7�(�•�0.� v O pad ` 3�2 Whva� q . h m � jry �Qtia Q 4 s aZaVW �YVe4 A'l°R k a ro He♦.( t\ Fo.ce,,.a 440.Z2�PPCp�. /0000' N. 6T''? �1 Two D FaRMERL� of 54LMON SOUNO MIEN► AYaENU,E ( 66' WIDE ) p SURVEY OFDESCR/BED PROPERTYAT SOUTHOLD TOWN OF SOUTNOLD, SUFFOLK COUNTY, NEW YORK GUARANTEED TO;F/RST AMER/CAN T/TLE/NSURANCE CO. OF N. Y., ADVANTAGE ABSTRACT CORP., TAMES L/EBL andLIMA COUTURE toR�resRURFRaiww�uREs SURVEYED RIECORUEDOAUNRMORDEpapENOTGUARAN'W ADVED COASTAL fROyptij f/AZARt> LWg 419/02 UNLESS PHYSICALY RnnC"R ON TNF PREMISES AT THEriMEOFa THE OFC r . SHOWN FROM OP r, n ,EFTRU .ESA HEREON M R A SPECIFIC PUtF. ,�.'J«_ THE -KSORE,THEY SCALE I"= 5�0' ARE NOT INTENDED TO hiDNUN THE PROPERTY UNESORTOGUIDETNEEREOTIONIDFFaCM -HARRY P. HILLEBRAND= ADDITIONAL STRICTURES OR ANY OTHEERD,SPROVE9ENT. LAND SURVEYOR SUFFOLK COUNTY TAX MAP 11 CHURCHILL LANE - SMITHTOWN, N.Y. DISTRICT SECTION BLOCK LOT TEL. 543-5/39 /OOO 51 ! /5 - NASSAU SUFFOLK SLUEEMN-nNG F«� 92452 /J ilk '/4 } n LM�D w rn .- .. _ - _ _ .•�ar�..: , .w.- a _ ' ' .. _ , _ 15 : Gad" t. 5u6F 70,L. `Y TA I AVOV 45' too AR EC . - 5 # -we,anrierr I jL 1 - 1 ' , L07 =- a1o,r , ! 2003 � 2 717 , ! � �y Or�ESSO l � c�- OUMD VI E W AVM Lle4 0 - a. r � it { � IF r-elUO SSI HT I RU-OUT'-~-'�-"f? r METAL, iu i .-. �pfi� U04 i ! ADD 1 {�, R r 6 ! .. iaAEx I 5T I - 1 Lr^`^,5. PA 1 - " WA57FPS AS ° i 0 a .Q CX15T14jaPAW r 7 -7M77 r r - � ps1�3i`n�q ° a It ...., i f _ a .l� i f Z-s ID fZf©C Je.S15Ai"1-2. 1£ TV 45 FCL"t ,�; a � oe ' �►#�� - ��c�� ���.-~t" i�,.4=ice �.-.-�-�_ ....�.. __...__.�,_. ,.r..�..:�...�...,_,._.. :.. .�._.,...._.,,...�....�..._... __.._ � � `� �` LAI { � "C. Plr >P j� C7 ' , �s ,fiC,g i - - iG- ail syr �';raA�,_ tul"01 RDDI t , qR �,7�/j�� - ' "f 15y}+5♦E k.1 F - lipt IM 14 0 Y A r OX - r \, $ 0 d� 3 a {,j'1 ,z LU 77 MOW ll t ' I