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HomeMy WebLinkAbout29001-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y_ CERTIFICATE OF OCCUPANCY No: Z-30320 Date: 07/28/04 T~IS CERTIFIES that the building NEW DWELLING Location of Property: 2590 WELLS RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 86 Block Subdivision Filed Map No. __ Lot No. -- PECONIC (PL~MLET) Lot 10.8 conforms substantially to the ApplicaTion for Building Permit heretofore filed in this office dated DECEMBER 10, 2002 pLtrsua~t to which Building Pez~ult No. 29001-Z dated DECEMBER 12, 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 ONE FAMILY DWELLING WITH FRONT A/~ REAR COVERED PORCHES, REAR MASONRy PATIO, OUTDOOR SHOWER STALL, SIDE DECK Ai~D ATTACHED TWO CAR~ GAP~AGE AS APPLIED FOR. The certificate is issued to JOHN T MCLANE & EILEEN T MCGUIRE (OWNER) of the aforesaid building. SUFFOLK COUIqTY DEPARTMENT OF ~IEALT~ APPROVAL R10-01-0181 ELECTRICAL CERTIFICATE NO. 77977C PLUMBERS CERTIFICATION DA%~D 03/29/04 ERIK ENDEN 07/20/04 0~/30/0~ 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. 29001 Z Date DECEMBER 12, 2002 Permission is hereby granted to: JOHN T MCLANE 1623 3RD AVE - APT 21G NEW YORK,NY 10128 for : CONSTRUCTION OF A SINGLE FAMILY DWELLING WITH ATTACHED GARAGE AND COVERED FRONT PORCH AS APPLIED FOR at pre~kises located at County Tax Map No. 473889 Section 086 pursuant to application dated DECEMBER Building Inspector to expire on JUNE Fee $ 1,978.50 2590 WELLS RD PECONIC Block 0001 Lot No. 010.008 10, 2002 and approved by the 12, 2004. ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTltOLD BUILDING DEPARTMENT TOWN H~S~LL 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 folloxving: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual rmtttral or topographic features. 2. Fhml Approval fi.om Health Dept. of water supply and sewerage-disposal (S-9 form). 3_ Approval of electrical installation l~om Board of Fire Urtden~q'iters. 4. Sworn statement fi.om plumber certifs,ing that the solder used in system contains less than 2/10 of 1% lead. 5_ Commercial buildh~g, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance fi.om 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 propeity lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect sig-aed by the applicant. If a Certificate of Occupancy is denied~ the Building inspector stroll state the reasoi~s therefor in writh~g to the applicant. Cd 1. Certificate of Occupancy - New dwelling $25.00, Addittons to dwelling $25.00, Altemtious to dwelling $25.00, Swimming pool $25.00, Accessory' building $25_00, Additions to accessory btfilding $25.00, Businesses $50_00. 2. Certificate of Occupancy on Pre-existing Building ~ $100.00 3. Copy of Certilicate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5_ Temporary Certificate of Occupancy - Residential $15_00, Commercial $15.00 New Construction: Location of Property: Date. Old or Pre-existing Building: (check one) House No. St~'eet OxwnerorOw'nersoferoperty: 3~M ]--~/IC4.~P~M{[ dc. Suffolk County Tax Map No 1000, Section ~(o Subdix,ision PermkNo. ~9 ~012 Health Dept. Approval: Date of Permit. Hamlet Block t Lot lO. ~ Filed Map. Lot: Undemq-iters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: Fee Submitted: $ (check one) Applicant Signature Town Hall, 53095 Main Road P.O. Box 1179 Southold, Ne,,,,, York 11971-0959 BUILDING DEPARTMENT TOWN O1' 8OUTI-IOLD CERTIFICATION Fax (631) "650-702 Telephone (631) 765 1802 Date: Building Permit o,,-=,.: (Please print) Plumber: ~-~t.. V,.- ~.~_~> E~4 , (Please print) I certify that the solder used in the water supply system contains less than 2;10 of (Plumbers Signature) Issue Date 4/30/2004 Electrical Ittspection Certificate Electricallnspection Service, Inc. Application 375 Dunten Avenue 77977C East Patchogue, New York 11772 (631) 286-6642 Issued To: John Todd McLane Jr Street: 2590 Wells Road Village: Peconic Zip: 11958 Section: 96 Block: I Lot: 10.8 Contractor: 12 Gage Electric {L) Town: Southold Lic.# 5205-E Was examined and found to be in compriance with the National Electrical Code. [] ~0mmercial [] NVDefects ~ Pool ~ 'lstFIoor [] indoor b~ Basement [] HotTub [] Residential [] Det. Garage ~ Attic [] 2nd Floor [] Outdoor L~ Addition [] Survey Switches Receptacles Fixtures 62 82 74 Dishwasher Washer/Amps Dryer/Amps 1 1 20 1 Gas Furnace Oil Gas Circulators 1 X 3 Meter Amps Phase UG/OH Jacuzzi 1 300 1 ~ ' Bldg. Permit: Other Equipment 1~-2~A Central Vac Recept. ~-150 A Panel with Main Breaker t-40 A Steam Mister Disc. -Garage Door opener recept. [2-15 A surge protector breakers CFI Heaters JVC Fans 13 5 Oven Range/Amps Microwaves 1 50 1 Smoke Detector Bell Transformer 10 1 Television CO Detector 2 Hugo S. Surdi President Rough Inspection: 10/14/2003 Inspector: Sean P. Hightower Final Inspection: 04/29/2004 Inspector: John Mc Mahon III This certificate must not be a[tered in any manner, Inspectors may be identified by their credentials. [OOOr' ~' I--~O'''% TOWN OF SOUTHOLD' PROPERTY RECORD CARD OWNER STREET ~.~;~,'~,"~ VILLAGE DIST. SUB. LOT ~,. FOYER OWNER N ~ { E ACR. I S ~ W ~PE OF BUILDING RES. $~S. VL. ~ [ I FARM CAMM, CB. MICS. Mkt, Value . ~ND IMP. TOTAL DATE R~ARKS ~ 500 ,e V I ~00 ~3/eo, , ~.L~ ~,~/~, -~,'mvn, ~f.' ~b' ~: ~ ~' · FRONTAGE ON WATE~ Tillable I,O47 '~o W~la~d FRONTAGE ON ROAD M~owland DEPTH Hou~ Plot ~ ~ ~ { ~ ~r" 'JC.) ~0 BULKH~D Totol ~ Permit Number Checked By/Date MECcheck Compliance Report New York State Energy Conservation Construction Code MEC, check Software Version 3.3 Rel~se lc Data filename: Untitled TITLE: New Residenc~ C_OUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE: Non-Electric DATE: 11/26/02 DATE OF PLANS: November 27, 2002 PROJECT INFORMATION: McLane/McGuixe 2950 Wells Road Pecordc, NY 11958 COMPANY INFORMATION: Garrctt A. Slrang, KA. Architect PO Box 1412 Southold, NY 11971 COMPLIANCE: Passes Maximum UA = 637 xf6~r Home = 556 -- 12.7% Better Than Code Grass Gla7ing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 2560 38.0 0.0 77 Wall 1: Wood Frame, 16" o.c. 3400 21.0 0.0 159 Window 1: Woad Frame, Double Pane with Low-E 393 0.330 130 Door 1: Gla~s 94 0.330 31 Door 2: Solid 111 0.350 39 Door 3: Glass 20 0.300 6 Floor 1: All-Wood Joist/Truss, Over Unconchtioned Space . 2580 21.0 0.0 [14 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the bailding plans, specifications, and other calcu/afions submitted with this permit applicatioo. Thc proposed ~stems have been de.~gned to meet thc New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed thispage, they are attesting that to the best of his/her knowledge, beli~ and professional judgman~, such plans or specifications are in compliance with this Code. Builder/Designer Date Town Of Southold P.O Box 1179 Southold, NY 11971 * * * RECEIPT * * * Date: 12/06/02 Transaction(s); Septic Permit - Construct - Resid. Receipt#: 0 Subtotal $10.00 Cash Total Paid: $10.00 Name: ClerklD: Strang, Garrett Po Box 1412 Southold, NY 11971 LINDAC Internal ID: 64489 BUILDING PERMIT EXAMINER CHECK LIST APPLICANT: 1~_.-- DATE SUBMITTED:i~_, 6- /02 SCTM# DISTRICT: 1,000, SECTION: ~-~&., BLOCK: ~_~T: STREET >d3DRESS: Z~'~ I~t~ 2~2~) CITY:~c-~-woic_ SLBDWISION: PROJECT DESCRIPTION: ~.1~-~_,,~ ~gL .a~2~?i~CT'ENGINEER: ~ FAST TtL~CK? E. STnMATED PROJECT COST: SINGLE & SEP.KP,&TE CERTIFICATION-REQLr[RED? fi/b NOTES: LOTS 4O,000SF -100-24. Lot recognition. CREATED before June 30, 1983 I, UNDERSIZED LOTS FROM J_kN'.1997 100-25. Merger.,'A nortconforrning at any t me after ZONING DISTRIC2': ~-) CONFORMING? ~g'J-., ~, REQ. LOT SIZE:~'~O!C~>©.~C~. LOT SIZ, E:~REQ. L~C~-X}~ACT LOT REQ. FRONT ~ PROP. FRONT ~,'/_RE/Q SDE c5>~/, q~["-- ACT. SIDE REQ. REx PROP. REAP7 REQ. HSlOHr PROE WATER FRQNT? ta[O DESCRJt'TION: '~ FLOOD ZONE: 7 ' / rAPPROVALS RE Q.t/RED SUFFOLK COUNT' HEAI~H DEPT:Oor NO, (BED #):% DTE8 TOWN SEPTIC RECEI~21~or N NEW YORK STATE DEC: PP~-~c w~/7s YES'B~fl SOUTHOLD TOWN TRUSTEES: YE~o~-- TOWN ZONING BOARD APPROVAL: YE TOWN PLAN. BOARD APPROVAl.: YES ~r,~.0~' TOWN HISTORICAL PRE (SPLIA): YES/o~. NYS ENERGY(~E~ OR NO : "('- ?. EGRESS (18 H min.? 4 sq total) ',._---VENT (SQ. FT. x 4%)_ BUILDING PERMITS OPEN/EXPIRED: BP -Z / C/O Z- HAVE PRE CO'S: Y OR N BP -Z / C/0 Z- NOTES: PEP, MIT #:R10- (D/<3[~ i ---~IGHT (SQ. FT. x 8%) ~' · SE)- 2. ( SF)- FEE STRUCTURE: FOUNDATION: FIRST FLOOR: SECOND FLOOR:_ ~__~ _fl}~-~ OTI-~R: TOTAL: SE)=4 ~,, SF SF SF SF SF SF)= SF X $ =$ +$ INIT OTI-IER TOTAL FEE FEE ~ +s +$ = $ 765-1802 BUILDING DEPT. [ ] FOUNDATION2ND [ ]INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLACE & CHIMNEY ~ · /~ DATE ~ INSPE~~ INSPECTION ~FOUNDATION 1ST [ ] ROUGH PLBG. 765-1802 BUILDING DEPT. INSPECTION [ ] FO~JNDATION 1ST [ ] ROUGH PLBG. [ ~'FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CI.~IMNEY REMARKS: DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FIREPL/~~Y ' REMARKS:' DATE INSPECTOR 765-~,802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ~]/ROUGH PLBG. [ ] F/F/F~ATION2ND [ ] INSULATION [ ~ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~.~,~.'~-~--~-J~~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]INSULATION [ ] F~NG [ ] FINAL [~"] FIREPLACE & CHIMNEY REMARK,~: / . . DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FRAMING [ [ ] FIREPLACE & CHIMNEY REMARKS: [ ] ROUGH PLBG. [ I~]"~NSULATION ] FINAL DATE INSPECTOR 765-1802 BUILDING DEPT, INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. ,[ ] FOUNDATION2ND [ ] I~J~TION [ ] FRAMING [ ~"] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: -7~.,/c~- r .. ~ <.~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] ~ULATION [ ~J'FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR BUILDING DEPARTMENT TOWN tL~LL SOU~OLD, ~' 11971 TEL: (631) 765-1802 F.~: (631) 765-950~ Approx ed Disapprox ed a c Expiration BUILDING PERMIT APPLICATION CI-~ECKLIST Do you have or need the following, before applying? Board of Health 3 sets of Building Plans Pbnning Board approval Surves( Check Septic Form N.Y.S.D.E_C. Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT Date /(,/~SPV' ~ '7 ,200 ~ · INSTRUCTIONS a. This application MUST be completely filled/2 by typewriter or in ink and subm/tted to the Building Inspector wkh 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan show/2g location of lot and of buildings on premises, relationship to adj oknnng premises or public streets or c. The work covered by this application may not be commenced before issuance of Building Perm/t. d. Upon approval of this apphcation, the Building Inspector will issue a Bu/lding Perm_it to the applicant. Such a permit shall be kept on the premises avallable for inspection throughout the work. e. No build/rig shall be occupied or used/2 whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occnpancy. t5 Ex eu, building permit shall expire if the work authorized has not cormnenced 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 regazlations affecting the property have been enacted inthe Interia~ the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new penn/t shall be required. ?d~PLICATION IS HEREBY IVLMDE to the Building Department for the issuauce of a B/21dmg Permit pursuant to the Building Zone Ordfimnce of the Town of Southold, Suffolk Coumy, New York, and other applicable Laws, Ordinances or Regulations, for the construction ofbuild/2gs, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with ali applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary hispections. /(Signature of applicant or name, ff a corporation) (Ivlafling address of applicant) State whether applicant is owner, lessee, agent, arctfitect, en~4neer, general contractor, electrician, plumber or builder Nameofownerofpremises 0'~t~/ /b/c L,~M~; ~ ~l/..~ /¥C (As on the tax roi1 or latest deed) If applicant is a corporation, signature ~t~pl~y authorized officer (Name m~d title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1_ Location of land on which proposed work will be done: f q.r-o zZs House Number Street County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block d9 / Filed Map No. Lot Lot State existing use and occupancy of premises and/intended use. and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Repair Removal Demolition 4. Estimated Cost ,~2,f'd>, ooo Fee 5. If dwelling, number of dwelling units J If garage, number of cars Addition A2teration Other Work (Description) (To be paid on filing this application) Number of dwelling units on each floor / 6_ If business, commercial or mixed occupancy, specify nature and extent of each t}l~e of use. 7. Dimensions of existing structures, if any: Front Height ' Number of Stodes Rear Depth Dimensions of same structure with alterations or additions: Front Depth. Height. Number of Stories ' 77 8. Dimensions ofentirb new construction: Front ' Height ~ ~ Number of Stories 9. Size oflot: Front ; ~//~'~ Rear Rear Rear '7 '7'~--- Depth /-,5-" Depth ,~/- ~'/~'/o<'2. 4Z'~'Z 10. Date of Purchase i~o~o Name of Former O~vner /9 11. Zone or use district :in xvhich premises are situated '~ 12. Does proposed construction xfiolate any zoning law, ordinance or regulation? NO .g 13. Will lot be re-graded? YES__ 14. Names of Owner o~!~remises/'/~'/~ ~$/'~r~ v/t t-' Address Name of Architect l,~>'-a-~ ,vt; Address-~o~ Name of Contracto[ aJ/~, Address 15 a. Is this property x~dthin 100 feet of a tidal 5x etland or a fi:eshx~ ater ~x etland: YES NO It7 YES, SOUT O D TOWN TRUSTEES & D.E.C_ PERMITS MA'~ BE REQUIRED. b. Is this property, w!thJn 300 feet of a tidal wetland? * YES__ NO · IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16_ Proxdde sut'vey~ to !cale, xxdth accurate foundation plan and distances to property lines_ 17. If elevatton at any point on property is at 10 feet or below, must provide topographical data on sm.'ey. NO Will excess fill be removed from premises? YES NO__ Phone No. O'-'o ~rr.~t-~ Phone No Phone No. STATE OF NEW YORK) COUNTY or dc ,s)s: E~ ~ T/- ~-~q~-ta ~ berg dOy sworn, deposes ~d says that (s)he is the applic~t ~ame of N~Sd~! sing contact) above rimed, / (S)He is the ~c~ 1 F~ /~ (Contractor, Agent, Co,orate 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 ali statements contained in this application are true to the best of his knmvledge and belief; and that the work will be performed in the manner set fbrth in the application filed therewith. Sworn to before me this da3' of A,/O 1/ Notaw ~blic NOTARY PUBLIO, New Yo~ No. 4~0~ Qualified - 8~lk ~u~ -~omm Exgires Ju~, Sigrmture of Applicant' IISURVE'r' OF: PROPER'Pi' 51TUAI'~: PIEC,,ONIC, TOI, NN: ¢oOUTHOL.P ..et)Fl=OH< C.,OUN'I"'¢, N'r" SURVEYED 04 - Iq - 2000, H.D. 04 - 2~ - OI 5UFPOLK GOUNTY TAX ~ C, ERTIFIED TO: o:5 NOTE~: I MONUHENT o PIPE ~ 5TA~E AREA = Cq,14q 5F CRAPHIC SCALE 1"=50' 4gq .65ft oOZ, 30"E P~POSED S66o43'52"W ~UFFOLK COUNTY I~EPART~IENT OF HEALTH .~RVICE5 PER~41'/' E-'OP. ~ P~ROVAL OF CONSTRUCT[ON FOE ~ ~lN~:,,,= .,A~4)L.'..'[~B~D~NC~ QNLY FO~ M~I~UM OF ~ ~DROOM5 EAPIRES THREE YEARS FROM DATE OF APPROVAL 462.07' Lond hlom or Pormorl~ oF . k~mni¢ Le,,o Piorco VAc, ANT JOHN ~C. EHLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. :50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 \~l-lp serverXd~PROSL20-157b.pro [I.SI.)RVEEY OF PROPERTY si'ri)ATE, PEGONIG TOI, NN-, 5OUTHOLD 5UFPOLK GOI.,IN'p¢~ NY SURVE'CE~ 04 - ,~ - 2ooo, H.D. 04 - 2~ - OI, 04-2~-02, 00-1~-02, odd'l bopo 0E2-12-02, FOUN[3'ATrON LOCATION SUFFOLK COUNTY TAX :~ IOOO-E)E~-I-IO,~ E, ER~,TI F I ED TO~ ,~59o0T30''E, NOTES: A STAKE AREA = 8q,14q 5F ®RAPHIG SCALE i"=50' S66°4Y52"W', 462.O7' Lc,~ncl Nov,. or' I-o:mocl~J ot JOHN C~ EHLERS LANE}oE *;'~ TR.VE5 '~' "' "-¢,.~}~,~,,' 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERHEAD, N.Y. 11901 369-8288 Fax 369-8287 V&lp server\dkPROSk20-157B.pro - 7 I[51JRVE'I' CE PROPERTT SITUATE: PEGONIC, TOl, ql'l-' 5OUTHOLO SURVEYED 0.4 - Iq - 2000, od,~'~ ~opo o6-~2-oz POUNOATION LOCATION FINAL 0'/-02-04 SUFFOLK. COUNT'T' TAX CE~TIFIF:D TO: John T. McLon~ Don\ oF SmlEhEo~n Common~olf. h Land Titl~ Insuranc~ Componq 7i~.l~ ~ ~.FI8000125'1 - i,,159o09.' 30''B A STAKF: ARF:A = 6q,l'4q S.F. or 2.0466 AC, F~F: ®F~APHIC SCALE 1"=50' 45"/.65ft S66o43,52,,Wi, 462.07' . [c;rln[¢ L ¢;~_~ F~ie~rc- JUL I 'iAlt:3b, JOHN C. E]HLERS LAND SURVEYOR 6 EAST MAIN STREET N.Y.S. LIC. NO. 50202 RIVERttEAD, N.Y. 11901 369-8288 Fax 369-8287 \kHp serverXd',PROS~20-157b.pro