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Home My WebLink About29959-ZFORM NO. 4 TOWN OF SOUTKOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPanCY No: Z-30365 Date: 06/21/04 T~IS CERTIFIES t~t the building ADDITION & ALTERATION Location of Property: 620 KNAPP PL GREENPORT (HOUSE NO-) (STREET) (HAMLET) County Tax Map No. 473889 Section 34 Block 3 Lot 10 Suhdlvision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 20, 2003 pursuant to which Building Permit No. 29959-Z dated DECEMBER 19, 2003 was issued, and conforms to all of the requirements of the applica]Dle provisions of the law. The occupancy for which this certificate is issued is ~DITION & ALTERATIONS TO EXISTING SINGLE F3~MILY DWELLING AS APPLIED FOR. The certificate is issued to G~PJ W BELMONTE (OWNER) of the aforesaid building. SUFFOLK COUIqTYDHPARTMENTOF~R. ALT~i~PpRo%q%L ELE~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION D~rmu Rev. 1/81 N/A 87018C 06/17/04 08/06/04 BURTS RELIABLE, INC. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON TEE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 29959 Z Date DECEMBER 19, 2003 Permission is hereby granted to: GARRY W BELMONTE 213 KNAPP PLACE GREENPORT,NY 11944 for : ADDITION & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at County Ta~ Map No. 473889 Section 034 pursuant to application dated NOVEMBER Building Inspector to exlDire on JUNE 620 KNAPP PL GREENPORT Block 0003 Lot No. 010 20, 2003 and approved by the 19, 2005. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TONVN OF SOUTliOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ,aPPLICATION FOR CERTIFICATE OF OCCUPANCY :£ ~ ~'~ ~ This application must be filled in by typewriter or ink and suhinitted to the Bu/lding Departme~with'th9 ~ii~g*~3_.~ A. For new building or new use: '- ~ 1_ Final survey o f propert3, with accm:at e 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 (8-9 form). 3. Approval o f eleetrical installation fi:oro Board o£ Fire Underwriters. 4 Sworn statement from plumber cer~fying that the solder used in system contains less tim 2/10 of 1% lead 5. Commercial building, industrial building, multiple residences aud similar buildings and installations, a certificate of Code Compliance from architect or engLneer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. For existing buildings (prior to April 9, 1957) non-eanforming uses, or buildings and "pre~existing" land uses: 1. Accurate survey of property sliowing all property lines, streets, building and unusual natural or topograplfic features. 2. A properly completed application and consent to inspect signed by the appl/cant_ Ifa Certificate of Occapanc3r is denied, the Building Inspector shall state the reasons therefor in xx~ting to the applicant. New Construction: Location of Property: 1. Certificate of Occupancy - New dwelling $25_00, Additious to dwelling $25.00, Altemtious 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 Build/ag - $100.00 3_ Copy of Certkficate of Oecupancy- $.25 4. Updated Certificate of Oecupancy- $50.00 5. Temporary Certificate of Occupancy - Resxdeatial $15.00, Commercial $15.00 (check one) Old or Pre-existing Building: HouseNo. Street Owner or Ownexs of Property: ~ ,~c)~/~.¥ /~ ~::g./.~p/~ ~ Suffolk County Tax Map No 1000, Section ~ Block Lot /0 Subdivision Permit No.. ~t:~q~) -~ Date of Permit. Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Filed Map. Lot: Underwriters Approval: Final Certificate: ( (chec~k °the) Applicant Signature P O. Box 1179 Soutr, ola Ne,~, '"cn- 1 ~971 OFF C OF THS TOWN OF SOUTHOLD CERTIFICATION BuildLnU Plumber: Permit No, ~p~e~e ~r~n~) (please print'! I cernify nba% %he solder used in the water supplv system con%ains !ess than 2/10 of 1% lead, ( P 1 u~ e ~'~s Signature) Sworn %o before me this Nolzar¥ Public, ,~0 ~ Counny BERNADE'ITE L. TAPLIN NOTARY PUBLIC II48441~3 $~te.ol-l, tew York Commission Bpi~'~ ~Jl I d~ 105 Issue Date 6/18/2004 Electrical h speedon CertiJ cate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 87018C East Patchogue, New York 11772 (631) 286-6642 Issued To: Mr. Gary Belmonte Street: 213 Knapp Place Village: Greenport Zip: Section: Block: Lot: 11944 Town: Southold Contractor: Shore Power Electric Contracting Lic.# 31697-ME Was examined and found to be tn compliance with the National Electrical Code. [] Commercial [] NVDefects [] Pool ~J lstFloor LXJ Indoor [] Basement [] HotTub [] Residential [] Der. Garage [] Attic [] 2nd Floor ~(~ Outdoor [] Addition ~] Survey Switches Receptacles Fixtures GFI Heaters 16 17 14 2 Dishwasher Wesher/Amps Dryer/Amps Oven Range/Amps A/C Fans Microwaves Furnace Oil Gas Circulators Meter Amps Phase 1 200 1 Bldg. Permit: Other Equipment Smoke Detector Bell Transformer 3 UG/OH Jacuzzi Television CO Detector '® ]~Oamp sub pane! / 1-15amp ac receptacle / -200amp panel with main Hugo ~. Surdt Presidont Rough Inspection: 04/23/2004 Inspecb3r: John Mc Mahon Ill Final Inspection: 06/17/2004 Inspector: John Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. Applicant' Owners Nmne: Architect/ Engineer: SCTM it: Dislrict: 1,000 Section:_ I.oeation: ' -J.} .3 __~)_~..l.r_ ' Name: Sia~le & separate Required ~ ce~ification: (Yes/No} / . ] [R~t Yard IFronlY~-~l :~'~ Propos~:~i"~ I [$idcYard Project Descript on: AGENC~,..t?ERMITS REQUIRED FOR REVIEW Suffolk County Health· Dept. New York State D. E: C. Town Trustees N.A. NO / __/ Permi¢ . YES Number Town Zomng Board approval: c,' . : ap d / / ' Town Planning Board prov Flood Plane Elevation ??? Flood Zone: . ff~,~,__/l( ~ NOtes: , _ , , ' ' ."' ','.,;'~ i~,/~ · / ~ # ~ - 1/ · ,~'. . ."' ,~ NEW YORK STATE CODE COMPLIANCE CttlgCKLIST CLIMATIC/GEOGRAPHIC DE SIGN CRITERIA: Ground Snow Load: 45 Weathering: Severe__ Design Temp: 11 Fros£ Depth: 36" Ice Shield Underlay: YES __ USE/OCCUPANCY CLASSIFICATION: HEIGHT/FIRE AREA: TSTE OF CONSTRUCTION: DESIGN CRITERIA: ENGINEERED/PRESCRIPT~'E FULL FRAh~XlG DESIGN ELEMENTS: Y/N ITEADERS: Y/N WALL STUDS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: LUMBER SPECIES AND GRADE: YfN DESIGN LOAD CALCULATIONS: Y/N LIVE: Y/N DE3J): Y/N SNOW: Y/N SEISMIC: Y/N WINDOW AND DOOR SCHEDULE: MISSLE TEST REQUIREMENTS: Y/N EGRESS 5.7 S.F.: Y/N LIGHT 8%: Y/N VENT 4%: Y/N NAILING/CONSTRUCTION SCH~DUL£: Y/N MEANS OF EGRESS: Y/N PLU3V~B]NG RISER DL~.GRAM: Y/N LOCATION OF FIt~ PROTECTION EQUIPMENT: TRUSS DESIGN: Y/N CERTIFICATION: ENERGY CALCS: TOTAL COMPL[ENCE? Y/N (RETURN TO PAGE ONE) Wind Speed: 120MPH__ Seismic Design Category: B__ Termite: M-H __ Decay: S-M Flood Hazards: GIRDERS: Yt~q ROOF RAFTERS: Y/N 765-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION [ '] FOUNDATION [ ] FRAMING [ ] ROUGH PLB; 2ND ~ [ ] FINAL [ ] FIREPLACE,~_~ ] FIRE SAFETY INSPECTION REMARKS: ~/~~~~~,~ ~~--~ DATE INSPE~~ 765-1802 BUILDING DEPT. INSPECTION [ ] FOUN~)N 1ST [~,,/~rOUGH PLBG. [[~~ION 2ND [[ ]] IF~NSAULLATION [ ] FIREPLACE~/HIMNEY [ I FIRE SAFETY INSPECTION REMARKS: t. "~/r ~'~~~ DATE INSPECTION L~-'~INSULATION [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ]FIREPLAC~[~HIMNEY[ ]~IR~ESAFETY INSPECTION REMARK~~-- 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND FRAMING [ ]~/NSULATION [ ~/~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~-/~~ ~ 765-1802 BUILDING DEPT. [ ]FOUNDATION ,ST [~RROUGH PL~'~~ [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR__ TOWN OF SQUTItOLD BUILDING DEPARTMENT SOUTI~OLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~v. northfork.net/S outhold/ PERMIT NO. BUILDING PERMIT APPLIC&TION~HECKLIST Do you Mx e or need the following, before applying? Board of Health 3 sets of Building Plans PIamzing Board approval Cheek Septic Form N.~ .5.D.E.C. Expkafion Building Inspector ";APPLICATION FOR BUILDING PERMIT Date ,200 -~" :' ~- -" ' INSTRUCTIONS a. This application MUST be completely filled in by typewriIer or in Ltd,: and submitted to the Bu.tldmg Inspector with 3 sets ofplans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining prentises or public su'eets or areas, and watem'ays. c. The work covered by ttfis application ma5' not be conm~enced before issuance of Building Pem~it. d. Upon approval ofth/s application, the Builcti2g Inspector will issue a Building Perafit ro the apphcant. Such a permit shall be kept on the premises available for mspecnon tt2'ougho~-tt the work. e. No building shall be occupied or used in whole or h~ pm~ for any purpose xxhat so ever tmti[ the Building Inspector issues a Certificate of Occupancy. f. Every building pmmit shall expire if the work amhonzed has not cormuenced within 12 months after the date of issuance or lms not been completed wirh2n 18 months from such date. If no zorting amendments or other reguiations affecting the property have been enacted in the interim, the Building Inspector may authorize, m writing, the extension of the pen-dit for an addition six months. Thereafter, a new permit shall be required. _~PPLICATION IS HEP~2BY M_~DE to the Building Department for the issuance of a Build~ing Permit pnrsuan~ to the Building Zone Ordinzmce of the Toxxu of Southold, Suffolk Comity, New York, and other applicable Laws, Ordinances or Regular/ohS, for the cor~stmction of buildings, additions, or altm arions or for remove) (]~ demolition as her ein described. The applicanr agrees to comply with al1 applicable laws, ordinances, buildthg code, hp-~p~ ~g code, agd re~m~lations, and to adt~t anthol-ized inspectors on premises and in building for necessaly inspectiolls. 'till ~t ~q0~ aamre of applicant or name, ifa corporation) (Mail/l~g address of applicant) State whether applicant is owner, lessee, agent, architect, enghFe'e:., g.eneral contractor, electrician, plumber or builder Nmne of owner of premises ~,'~' 14/. ~'d~/l~2/k,J~t-~' (As on the tax roll or latest deed) If applicant is a corporation, signature of dul5 authorized officer (Name a.nd title of corporate officer) Builders License No. /~/~' Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland on which proposed work will be done: House Number Street Hamlet Comity Tax Map No. 1000 Subdixdsion (Name) Section Block Filed Map No. ro - '"1 Lot >r 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:, a. Existing use and occupancy_ ~-~lZP~.r/0tz:ht~ b. Intended use and occupancy Nature of work (check which applicable): New Building_ Addition Repair Removal Demolition Other Work Estimated Cost ~! ff~7. -- Fee If dwelling, number of dwelling units If garage, number of cars Alteration t/'W (Description) · ~ ~ ,.'~- ~ ~ ~-- ~To be vmd on fihnz this application) · ; ': ' ..... "~*:' ,'7 · ~ ~ [ Nmr~oer of d~ ef~g-.umts on each floor 6. If business, cmmuercial or mixed occupancy, specter nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front 4~.~ Rear Height ~ ~_9~.~/ Numberof Stories Dimensions of same structure with alterations or additions: Front Depth ~--~¢.~# Height -q'0.2. 8. ' Dimensions of entire new construction: Front ~-~. Height ~ /~.~t Number of Stories / ~ ! Rear 9. Sizeoflot: Front 10. Date of Purchase Name of Former Owner _Depth ..~e~..~~r Number of Stories Rear Rear _Depth Depth 11. Zone or use district in which premises are situated ~O. 4~ 12. Does proposed construction xdolate any zoning law, ordinm~ce or regulation? YES__ NO V 13. Will lot be re-gaded? YES NO v'fWill excess fill be removed from premises? YES NO ,4J,'"O 14_ Names of Owner of premises (-,~rtr~t ,~lt,,t,t,f, lz~/W Address .~13]~/~a,O~/, ff~ Phone No. ~/.4:7,2. _~23~ Name of Architect 7~fi-~2',~,~'' ~r'~'//2ld,~,~,/' Address ,~d~:;/c/ ~/~ .t~ Phone No ~.~d.-itT'Z. ~;Zqt Nmne of Contractor 7~ ~2~'4~Z,,~,t~//~_d Address v - Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a fi:eshwater wetland? *YES NO ~ * IF YES, SOUTHOLD TOW-N TRUSTEES & D.E.C. PER2¥iITS NLkY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO / * IF YES, D.E.C_ PERMITS IVLKY BE REQUIRED. 16. Provide survey to scale,· with accurate foundation plan and distances to properO, lines· 17. If elevation at an3, point on property is at 10 feet or below, must provide topographical data on su~'ey. STATE OF NEW YORK) SS: COUNTY OF __ ) being dui3, sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)Ite is the (Contractor, Agent, Corporate Officer, etc.) of said owner or owners, and is dui3, authorized to peffmm or haxe performed the said wo[k and t9 make and file this application; that all statements contained in this application are true to the best of Iris knowledge and belief; and that the work will be perfonned in the manner set forth in the application filed therewith. Swopiz to before me this ffNotary Public LYNDA M. BOHN NOTARY PUBLIC, State of New York No. 01 BO6020932 Qualified in Suffolk County_ Term Expires March 8, I/' ~' Signat~r-e o'~Applicant \ PLUMBING ALL PLUMBING WASTE & WATER LINES NEED TESTING BEFORE COVERING PLUMBER CERTIFICA T/ON ON LEAD CONTENT BEFOHE CERT/FtCATE OF OCCUPANCY SOLDER USE~ IN WA TER SUPPLY SYSTEM CAN,~JO T EXCEED 2/10 OF 1% LEAD. OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY U~WR~S CERTIFICATE CERTIFICATION NAILING ~- CONNE(, REQUIRED. COMPLY WITH ALL CODES OF NEW YORK STATE & TOW~ CODES AS REQUIRED AND CONDITIONS OF I ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE CODES OF NEW YORK STATE APPROVED AS NOTED NOTIFY BUILc[N¢-- DEF~., M=,~ AT 765-18~2 8AM ?'3 4 ~M FOR THE FOLLOWING INSF .'_- I. FOUNDATION ':-~. FOR POURED = '.-~Tr 2. ROUGH - FRA~¢~.'..~ ~. INSI,.J[ATION 4. FINAL - CO{.,I$%~UCT.-- BE COMPLE;'E FOR ALt CONSTRUCT.ON SHALL MEET THE REQU~TS OFTNE 3~'"0E5 ,.~F NEW YORK STATE. NOT ~E:"- .~ .._~. ~OR DESIGN OR CONSTRb-:.T;v:. REScheck Package Generator Compliance Report Location: Suffolk, New York Construction Type: Single Family Heating Type: Non-Electric Code: New York State Energy Conservation Code HDD: 576D Builder Name: to be determined Date: 11/20/2003 Builder Address: Building Address: 213 Knapp Place, Greenport, NY 11944 SubmiEed By: Frank W. Uellendahl, Architect PROPOSED Glazing Area 100 X 95.49 + 895.5 = Glazing Area Gross Wall Area Phone Number: 631.477.8624 10.66% 11.0% R-Value Description Comments Proposed R-Value Minimum R-Value Ceiling R-38 R-38 Wall Cavity upgrated to R-21 R-17 Wall Continuous R-0 R-O Floor 2nd Floor existing R-19 R-19 U-Factor Description Comments Proposed U-Factor Maximum U-Factor Window U-0.34 U -0.45 Door Front door exempt U-0.35 U--0.35 Statement of Compliance: T~e proposed building design represented in these documents is consistent with the building plans, ~pe;~i7~nnt~n(~deotherN~evj?~;J;ti~;es;nu~brr;~ttCed~ssiethrv~a;~enr~r~i~;p~catI~. The proposed building has been designed to meet the - ,. ,,. . 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