HomeMy WebLinkAbout29294-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-30799 Date: 03/02/05
THIS CERTIFIES that the building ADDITIONS/ALTERATIONS
Location of Property: 230 VINCENT ST ORIENT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 25 Block 3 Lot 14
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 12, 2003 pursuant to which
Building Permit No. 29294-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 ADDITIONS & ALTERATIONS TO EXISTING SINGLE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to ELIZABETH M. WELCH
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1142590 09/23/03
PLUMBERS CERTIFICATION DATED 02/24/05 R.VANETTEN PLUMBING
w
hor' zed S' nature
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. 29294 Z Date APRIL 17, 2003
Permission is hereby granted to:
MARIO & WF ANTONAZZI
PO BOX 485
ORIENT,NY 11957
for
CONSTRUCTION OF ADDITIONS/ALTERATIONS TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR
at premises located at 230 VINCENT ST ORIENT
County Tax Map No. 473889 Section 025 Block 0003 Lot No. 014
pursuant to application dated MARCH 12 , 2003 and approved by the
Building Inspector to expire on OCTOBER 17, 2004 .
Fee $ 150 . 00
uthori ed Signature
ORIGINAL
Rev. 5/8/02
Form No.6
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 Cer(ificate of Oecupancy 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 dw 1 ' g 2 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. f<�i
New Construction: Old or Pre-existing Building: V (check one)
Location of Property: 230 kf 1,,� bV
House No. Stree1t, Hamlet
, r
Owner or Owners of Property: I�L Q�.o; M w�( C.� d �&nf,[b 61A4 G�-D L4
Suffolk County Tax Map No 1000, Section 0 Block 0 00--5 Lot 014
Subdivision Filed Map. Lot:
Permit No. a°�a°' Date of Permit. 1-4 ` 1 `03 Applicant: VJ(e t G L-
Health Dept.Approval: Underwriters Approval:
Planning Board Approval: /
Request for: Temporary Certificate Final Certificate: V (check one)
Fee Submitted: $
A icant Signature
D cn cn ���P cnc.f�nr��ncn r��rJrJrJ� cn�n D
c
5 OF COMPLIANCE THE BY THIS CERTIFICATE ' S
5
NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 5
5 BUREAU OF ELECTRICITY S
5 40 FULTON STREET NEW YORK, NY 10038 5
5 CERTIFIES THAT 5
5 5
5 Upon the application of upon premises owned by 5
5 55
5 C-CAT CO. LIZ WELCH 5
5 9280 SOUND AVE. 234 EAST 89th STREET(APT.4-E 5
5 MATTITUCK, NY 11952, NEW YORK, NY 10128 c�
5 Located at 230 VINCENT STREET ORIENT, NY 11957 5
5 5
5 Application Number: 1142590 Certificate Number: 1142590 5
5 5
5 Section: Block: Lot: Building Permit: BDC: NS11 5
5 5
5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5
5 electrical devices and wiring,described below, located in/on the premises at:
5 S
5 First Floor,Outside, 5
5 5
5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was
5 found to be in compliance therewith on the 23rd Day of September,2003. 5
5 Name OTY Rate tin ircuit —Type 5
5 Appliances and Accessories S
5 Dish Washer 1 0 1.2 KW S
5 Exhaust Fan 1 0 F.H.P. 5
5 Wiring and Devices 5
5 Receptacle 9 0 General Purpose 5
5 Switch 7 0 General Purpose 5
5 Fixture 6 0 Incandescent
5 Dimmers 7 0 5
5 Receptacle 1 0 20 amp Laundry S
5 Receptacle 1 0 30 amp Dryer 5
5 Receptacle 3 0 GFCI 5
S 5
5 5
5 5
5 seal 5
5 5
5 . 5
5 5
5 1 of 1 C,
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
5
Town Ball, 53095 Main Road Pax(631)765.9502
11,0. box 1179 � Telephony.(63 1) 765.1 Al
Southold, New York 11971-0959
BUILDING DBPAI TMENT
TOWN OF SOUTHOLD
C ''iZTIIFICATI0N
Building Ponnit —
Owner:
(Please print)
Plumber: fiLe<4 van
base Print)
lend.
I certify that the solder used in tilt water:;upi Y System�I System contains less (halt 2110 of 1%
s.�� ------ - (Plumbers Signature) __.�.._.
Sworn to before me this a
day f_ A 1 20 d
Notary Public, _ �{''"ounty
Notary�Pubtic SE. te STAPLES NN@w libel(
No.483194� Q S
Commission X31,
o� Gym
Fax(516)765-1823 y Z Town Hall,53095 Main Road
Telephone(516)765-1800 O P.O.Box 1179
4,- Southold,New York 11971
.7
SOUTHOLD TOWN PR 5
LANDMARK PRESERVATION COMMISSION 20
L„_T _.---
TO: Southold Town Building Dept.
FROM: Southold Town Landmark Pres. Comm. —Herb Adler, Jr.
DATE: April 15, 2003
RE: Welch residence at 230 Vincent Street, Orient
Tax Map #25-3-14, SPLIA No. OR 19
The Landmark Preservation Commission has reviewed the new deck addition to
be made and approves the drawings for the same.
04/01/2003 22:57 W 212 252 0166 METZ Design / eMAC LLC 10 oolluuz
DESIGN
April 2, 2003 RFs DENT A, &CONTRACT
April
In iNTFRiORS AE
Atten: Damon GWYN METZ, ASID
Southold Building Department
Southold, N.Y.
RE: Pending Permit for Uz Welch and Marcelo Guidoli. 230 Vincent St., Orient, N.Y.
Dear Damon,
Per our telephone conversation the afternoon of Mar.3 I,you alerted me to the need
for some fine tuning of certain details on the Blueprint, "BD-I",dated Mar. 5,2003.
You indicated this could be handled as an Addendum to the Blueprint and faxed to your
office in order to expedite the permit process. Joseph Fischetti,who is the engineer for the
job,just returned yesterday, April 1. 1 will send him three hard copies to stamp and submit
for your files.
The following Addendum will hopefully answer any concerns the Building Dept.may
have.
Yours sincerely,
/?--a //' r
Gwyn Metz, ASID, NYSCID
1200 BROADWAY 2 NEW YORK. NY 10001 0 P: 212- 532 . 3696 & 631323 3989 ■ F: 212 . 252 .0166
04/01/2003 23: 15 FAX 212 252 0166 METZ Design / eMAC LLC Ig 001/001
DESIGN
April 2. 2003 SIDLNI Al x CONTRACT
k; INT_R 0Rs U
Atten: Damon GWYN METZ . ASID
Southold Building Department
Southold, N.Y.
READ ENDU M to Bluggrinj "BD-1". Dated Mw. S.2003
for Pending,Permit for Welch and Marcelo Guldoli. 230 Vincent St.. Orient, N.Y.
I) The House at 230 Vincent St.in Orient, N.Y.was built c. 1885 and is a single family
dwelling.
2) To clarify item #2 in "Notes to Bldg. Dept."on Dwg."BD-I",
The Certif.of Design Criteria =Prescriptive Design.
3) The framing of new doorways and windows will all be handled in the same manner.
(See"BD-I"notes and section detail 'W').
4) The construction of the small deck(+/- T-6"x +/- 6-0") will be built with the same
criteria as noted on "BD-I", Sect. Detail "A".
5) The handrail on the above mentioned small deck will be T-0" in Height and will have vert.
balusters not to exceed V apart in spacing.
6) All work (which is minimal) is taking place on non-street facing facades and wlll be in
keeping with the original architecture.
Yours sincerely,
/A.—� /,��
Gwyn Metz, ASID, NYSCID
1200 BROADWAY ■ NEW YORK, NY 10001 0 P! 21 2 . 532 3696 & 631 • 3233969 ■ F. 212 . 2520166
765-1 802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INS ATION
[ ] FRAMING [ FINAL
[ ] FIREPLACE 8 CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE . � INSPECTOR '�
M-ieox
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION IST [ ] UGH PLBG.
[ j FOUNDATION 2ND INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPL CE 8 CHIMNEY
REMARK
DATE !/ 3-in-S-PEi
765-1802
BUILDING DEPT.
INSPECTIO
[ ] FOUNDATION iST ROUGH PLBG.
[ ] FOU TION 2ND [ ] INSULATION
[ MING [ ] FINAL
[ ] FIREPLACE CHIMNEY
REMARKS•
/,gj
DATE �� D -INSPECT
FIELD INSPECTION REPORT DATE COIVIlVIENTB ,..
. b
FOUNDATION(1ST) '
C
vs
FOUNDATION(2ND)
Z
_ O
—ig
loe
ROUGH FRAMING&
PLUMBING y
S
INSULATION PER N.Y. -y
STATE ENERGY CODE
4
FINAL
ADDITIONAL COIVIIVIE iTS
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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:765-1802 t. Su vey
PERMIT NO. Check
Septic Form
1 N.Y.S.D.E.C.__
Trustees
Examined / 7,20 Contact:
Approved P 20 Mail to:
Disapproved aic_
/ Phone:
Building Inspector
1R Z APPLICATION FOR BUILDING PERMIT
, �
INSTRUCTIONS Date *320
�— a.This application MIST 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 a Certificate of Occupancy
is issued by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for a issuance of a Building Permit pursuant to the
Building'Lone Ordinance of the Town of Southold,Suffolk County,New Yo , td other applicable Laws,Ordinances or
Regulations,for the construction of buildings,additions,or alterations or for Amval or demolitionA herein described.The
applicant agrees to comply with all applicable laws,ordinances,building code, o sing code,and a ations,and to admit
authorized inspectors on premises and in building for necessary inspections. ,D
(S true of appli ft
t or name,if a corporation)
[Funs-// /�b�� Rd
(Mailing s of applicant)
State whether applicant is owner,lessee,agent,architect,engineer,general contractor,ele cian,plumber or builder
Name of owner of premises �-,) "V e C /
(as on the tax roll or latest deed)
If applicant is a corporation,signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Locti ( land on which r posed ls(will be 7- Dr,,
House Number Street 7 Hamlet
County Tax Map No. 1000 Sectiony 2� Block d 3 Lot 0
Subdivision Filed Map No. Lot
(Name)
2. State existing use and occupancy of premises and intenuse and cupancy of proposed construction:
a. Existing use and occupancy 7� r' '
b. Intended use and occupancy >/)we
6
3. Nature of work(check which applicable):New Building Addition Alteration
Repair Removal Demolition Other Work
'— (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 existing structures,if any:Front Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front Rear
Depth Height Number of Stories
8. Dimensions of entire new construction:Front Rear Depth
Height Number of Stories
9. Size of lot:Front Rear Depth "O
10.Date of Purchase Name of Former Owner
11.Zone or use district in which premises are situated
12.Does proposed construction violate any zoning law,ordinance or regulation: �� 1
13.Will lot be re-graded Will excess fill be remo ed om remises: YES NO ,C
p�/ 2,3q-g �q�s�
14.Names of Owner of premises�► '�(!!G Address /Vr/OIZ R hone No. 2t'2 f 9 Z 774
Name of Architect Address Phone No
Name of Contractor Address Phone No.
15. Is this property within 100 feet of a tidal wetland?*YES NO
• IF YES,SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED
16.Provide survey,to scale,with accurate foundation plan and distances to property lines. s&
17.If elevation at any point on property is at 10 feet or below,must provide topographical data on survey.
STATE OF NEW YORK)
SS:
COUNTY OF ) \
5 A 4 h S - 4Z �J� being duly swom,deposes and says that(s)he is the applicant
(Name of individual signing contract)above named,
;S)He is the�4-
(C tractor,Agent,Corporate Offie etc.)
�f said owner or owners,and is duly authorized to perform or have erfo ed the said work and to make and file this application;
:hat all statements contained in this application are true to the best his kn wledge and belief;and that the work will be
)erformed in the manner set forth in the application filed therewith.
;worn to before me this
day of 20L,;�_
A411�— Y-V'
Notary Public Signature of Applicant
LYNDA M.BOHN
NOTARY PUBLIC,State of New York
No.01 B06020932
Qualified in Suffolk Coun
Term Expires March 8,20
BUILDING PERMIT EXAMINER CHECK LIS
DATE REVIEWED: L/11/03
APPLICANT: DATE DATE SUBMITTED: //x/03
SCTM#
DISTRICT: 1,000, SECTION: Z� , BLOCK: 3 , LOT: SUBDIVISION: s
ADDRESS: t:90 , ST CITY: �r&M ZONING DISTRICT: _CONFORMING? Ala
BUILDING PERMITS OPEN/EXPIRED:
BP601 -Z/ C/0 Z- , INFO /BP -Z/ C/0 Z- , INFO
BP �� -Z/ C/0 Z- ( 12T�q�, INFO /BP -Z/ C/0 Z- , INFO
PRE CO: OR N -Z/C/0 Z-
SINGLE & SEPARATE CERTIFICATION-REQUIRED NOTES:
LOTS 40,000SF-100-24.Lot recognition.(CREATED before June 30,1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/1/83)
REQ. LOT SIZE: ACT. LOT SIZEA,0 REQ. LOT COV. c,V ACT. LOT COV.
REQ. FRONT 35- PROP. FRONT REQ SIDE I o ACT. SIDE
REQ. REAR 35- PROP. REAR ,/ REQ. H IGHT PROP. HEIGHT
PROJECT DESCRIPTION:
Ma.;N.,� arm p•••r --�o w>d. I o�6�ib,..
ESTIMATED PROJECT COST: ARCHITECT/Ftn�� _ ; FAST TRACK NQ _
WATERFRONT? NO DESCRIPTION:
PANEL #: FLOOD ZONE: COMPLIANCE:
APPROVALS REQUIRED
SUFFOLK COUNTY HEALTH DEPT: YES or ND>, (BED #): DTE: / / PERMIT#:
TOWN SEPTIC RECEIPT: Y ofdg>
NEW YORK STATE DEC: PRE-DEC 9/1/75 YES ori
SOUTHOLD TOWN TRUSTEES: YES or N(P
TOWN ZONING BOARD APPROVAL: YES ori
TOWN PLAN. BOARD APPROVAL: YES o&D
TOWN HISTORICAL PRE (SPLIA): 1!nor NO 1 Ger 0 4.-
NEW YORK STATE CODE COMPLIANCE (SEE PAG 2t YES O
NOTES:
FEE STRUCTURE: FOUNDATION: SF
FIRST FLOOR: SF
SECOND FLOOR: SF
OTHER: SF INIT OTHER TOTAL
TOTAL: SF FEE FEE FEE
1. ( SF)- ( SF)= SFX$ =$ +$ +$ =$ Ird
2. ( SF)- ( SF)= SF X$ =$ +$ +$ = $
3. ( SF)- ( SF)= SFX $ =$ +$ +$ =$
FINAL TOTAL: $
NEW YORK STATE CODE COMPLIANCE CHECKLIST
USE/OCCUPANCY CLASSIFICATION: 1'&�&l,, y��Q
HEIGHT/FIRE AREA: n►�s►
TYPE OF CONSTRUCTION:
DESIGN CRITERIA: D/PRESCRIPTIVE
FULL FRAMING DESIGN ELEMENTS:
HEADERS:a$/N WALL STUDSO N
GIRDERS: 6?/N CEILING JOISTS:&/N
FLOOR JOISTS:6/N ROOF RAFTERS:&N
LUMBER SPECIES AND GRAD21:1)(N
DESIGN LOAD CALLULATIONS:IOYN
SHOULD INCLUDE LIVE,DEAD,SNOW,SEISMIC AND WIND(INCLUDING UPLIFT AND EXPOSURE)
WINDOW AND DOOR SC EDULE:
MISSLE TEST REQUIREMENTS-?N
EGRESS 5.7 O.F./,LIGHT 8%, VENT 4%: Y/N �+�►'
LOAD PATHS: Y/N
ROOF TO FOUNDATION
NAILING/CONSTRUCTION SCHEDULE-ON
MEANS OF EGRESV/N
PLUMBING RISER DIAGRAM: Yx N/q
7 LOCATION OF FIRE PROTECTION EQUIPMENT: Y/N
TRUSS DESIGN: Y/N /
CERTIFICATION: Y/N ti a-
ENERGY CALCS: Yo
TOTAL COMPLIENCE YN (RETURN TO PAGE ONE)
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TERS SALLUNDERWRICALL CNS ( UlTOFT
HEREMENTSREQUIRED NEETTHERpUI
CODES OF N"YORKSTATE
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TOWNCODES
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zXt3"�n 3'_4n�-IELt£�, - -' Y� PLUMBING • TWOREWIR� ,.�4T5
SEE pe it L Ik"'i I ALL PLUMBING WASTE
TESTING BEFORE COVERING -
/ S� » TEST WATER LINES NEED INGI y
TM r MhK Iv r
PLUMBER CERTIFICATION rlr
_ �-_ - _ f--� 5Tv'dE Haa✓ 'UT1,Df11�Wr'f' +
ON LEAD CONTENT BEFORE "IE FOR C. Is
jcTlaN. CERTIFICATE OF OCCUPANCY
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�' ; OF OCCUPANCYCERTIFICATION
1
NAILING & CONNECTOIONS
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REQUIRED. WIN all 2 Pa-rAlL
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FLOOD ZONE
= - - - �
COMPLY WITH CHAPTER '46° "
FLOOD DAMAGE PREVENTION
L - t SOUTHOLD TOWN CODE:
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