HomeMy WebLinkAbout31747-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-31426
Date: 02/08/06
T~tIS CERTIFIES t~at the building NEW DWELLING
Location of Property: 1290 WEST HILL RD SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Ta~ Map No. 473889 Section 63 Block 7 Lot 17.3
subdivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 20, 2006 pursuant to which
Building Permit No. 31747-Z dated JAAUJARY 20, 2006
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 SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GAR3~GE AS APPLIED FOR.
The certificate is issued to PETER J & EILEEN M HUGHES
( OWNER )
of the aforesaid building·
ST~FFOLK COUN~"I DEPARTMENT OF ~ALT~t APPRO%rAL R10-98-0048
ELECTRICAL CERTIFICATE NO.
PLI3MBER~ CERTIFICATION Da'£~u
Rev. 1/81
06/i0/99
1108244 01/20/03
05/28/99 PECONIC PLUMB. &HEATING
~a tJ/S~' gn
· ' ature
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. 31747 Z
Date JAlqUARY 20, 2006
Permission is hereby granted to:
for :
CONSTRUCT A NEW SINGLE
AS APPLIED FOR.
PETER J & EILEEN M HUGHES
1290 HILL RD WEST
SOUTHOLD,NY 11971
FAMILY DWELLING WITH ATTACHED 2
THIS PERMIT REPLACES BP 29086.
CAR GAP~AGE
at premises located at
County Tax Map No. 473889 Section 063
pursuant to application dated JANUARY
Building Inspector to expire on JULY
1290 WEST HILL RD
Block
SOUTHOLD
0007 Lot No. 017.003
20, 2006 and approved by the
20, 2007.
Fee $ 1,516.20
Authorized 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:
Ao
For new building or new use:
1. Final survey of property with accurate location of all buildings, property lines, streels, 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.
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.
For existing buildings (prior to April 9, 1957) hon-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.
1. Certificate o f 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 - $25.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction:
Old or Pre-existing Building:
(check one),. , .
Hamlet
Location of Property: /~...-
Houseqqo.
Suffolk County Tax Map No 1000, Section ~_.~ Block
Underwriters Approval:
Final Certificate: ~
Health Dept. Approval:
planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: · - -
(check one)
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET - NEW YORK, NY 10038
CERTIFIES THAT
Upon the application of upon premises owned by
ALL-NU ELEC. CONT., INC
P.O. BOX 2121
GARDEN CITY, N.Y. 11530,
PETER J. HUGHES
1290 HILL ROAD WEST
SOUTHOLD, NY 11971
Located at
1290 HILL ROAD WEST SOUTHOLD, NY 11971
Application Number: 1108244
Certificate Number: 1108244
Section: 63 Block: 7 Lot: I'? ~_~ Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Attached Garage, Outside, Attic,
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 20th Day of January, 2003.
Name QTY Rate Rating Circuit Type
Additional Charges
LOT: 17.003
Alarm and Emergency Equipment
Sensor 6 Smoke
Appliances and Accessories
Range 1 10.8 KW
Dish Washer 1 1.2 KW
Exhaust Fan 1 F.H.P.
Furnace 1 F.H.P.
Air Conditioner 1 3.5 TON
Air Conditioner 1 2 TON
Motors
Panels
Wiring and Devices
1 3.5
2 F
1 2
2 60 1 seal
Continued onNext Page 1 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038
CERTIFIES THAT
Upon'the application of upon premises owned by
ALL-NU ELEC. CONT., INC
P.O. BOX 2121
GARDEN CITY, N.Y. 11530,
PETER J. HUGHES
1290 HILL ROAD WEST
SOUTHOLD, NY 11971
Located at
1290 HILL ROAD WEST SOUTHOLD, NY 11971
Application Numbe~: 1108244
Certificate Number: 1108244
Section: 63 Block: 7 Lot: Building Permit: BDC: NS11
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Basement, First Floor, Attached Garage, Outside, Attic,
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 20th Day of January, 2OO3.
Name QTY Rate Rating Circuit Type
Outlet 44 Fixture
Receptacle 60 General Purpose
Switch 45 General Purpose
Fixture 42 Incandescent
Fixture 2 Fluorescent
Receptacle 1 20 Special
Receptacle 1 30 Special
Dreamers 1 600
Receptacle 8 GFCI
Service
1 Phase 3W Service Rating 200 Amperes
Service Disconnect: 1 200 CB
Meters: 1
seal
2 of 2
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
APPI~OVAL OF CONSTRU~ED ~VOR~ FOR
SINGLE FA~H~Y RESIDENCE
Town Hall, 53095 Main Read
P. O. Box 1179
Southokt, New York 11971
Fax (516) 765-1823
Telephone (516) 765-180;'
OFFICE OF THE BUILDING INSPECTOR
TOWN OF SOUTHOLD
Building Permit No.
Owner: C~f. oVO) ¢
(please pri~)
(please print) / --
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
Sworn to before me this
day of
Notary Public, ~ ~
19
County
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
]FOUNDATION 1ST [ ]ROUGH PLBG,
]FOUNDATION 2ND [ ~ION
] FRAMING / STRAPPING ~ FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
DATE
INSPECTOR
765-1~2
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST ROUGH PLBG.
[ ]
FOUNDATION 2ND INSULATION
[ ]
FRAMING [~'~, FINAL
,FIREPLACE & CHIMNEY
,~/./~/._~ '~,., ~-~ .~-.-., >:,: <.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
LAT H PLBG.
ION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
76S-1802
BUILDING DEPT.
INSPECTION/
FOUNDATION 1ST [~,~,"I~OUGH PLBG.
[[~ION 2ND [[ ]] IFNi::TTION
FIREPLACE & CHIMNEY
76S-1802
BUILDING DEPT.
INSPECTION
] F~UNDATIOH 15T [ ] ROUGH PLBG.
~/FOUNDATION 2ND [ ]
INSULATION
] FRAMING [ ]FINAL
] FIRE~HIMNEY
REMARKS( Z
BUILDING DEPT.
,ou~~jPECTION
[ N 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
DATE/~~'~ INSPECTO~
2-11-1999
IECIWARO S. SII. SBE
ARCHITECT
Town of Southold
Building Departmem
Southold, N.Y. 11971
Job 9810
Attn. Building Inspector
TOWH OF 3:7~GT',IOLD
Dear Sir:
I have been told by Mr. P. Hug.hca the owner/builder of a new home on the corner of Hill
Road West and Wells Ave. in the hamlet of Southotd that his timer made several
substitutions to the girders in the ec4~ and the ridge board. I have rev]cwcd these
changes and my comments are as follows.
The girders identified as C, E & F odgimdty specified as a variety of c~3nfinuous built-up
girders have been modified to be cont'muous lengths of 3 1/2" x 9 1/2" 1.9E Micro=Lam
L.V.L's. My review shows that these girders will perform acceptably.
The original ridge board-ofa 2"x12" has been modified to be an 1 1/2" x tl 7/8" 1.9E
Micro=Lam L.V.L My review shows me that this ridge board will perform acceptably.
Thank you for your consideration. Should you have any questions please do not hesitate
to call this office.
Sincerely,
d ar S. sbe~.A.
ESS:mwp
89 PARK AVE., BLUE POINT, N.Y. 11715 - (516) 363-6511
:OUNDATION
~OUNDATION
~OUGH FRAME &
-FLUMBING'
INSULATION FERN.
STATE ENERGY
CODE
4.
. .~IUFi.'OLK COUNTY DI~PARTMENT OF HEALTH
MAR 2 6 1998
OO'f 5
BLDG. I] EPT,
TOI~N OP SOUTIIOLI)
BUll. DING DEPARTHENT
'rO~N UALI,
SOtlTIIOi. O, N.Y. 1197 I
TEl.: 765-1802
BOARD OF HEALTtl ...............
3 SETS OF PLANS ...............
SURVEY ........................
CIIECK .........................
SEPT]lC FORN .............. ../..
/
,o: ....................
INSTRUCTIONS
s. This application ntmt be cot~letely filled in by t~/pe~riter or in ink nt~l mi~itted to tim I~,ilding lnsl~ctor
3 ~ts of pl~, ac~rnte plot plan to ~nle. ~ ~i~ to
b. Plot pl~ ~i~ l~tim of lot ~ of ~ildi*~a ~ ~{~s, ~latl~dp to ~jotnt~
struts or areas, a~ givt~ a ~tall~ ~ri~t~ of ln~t o[ pro~rty met Im dr~
~l~is n~fl ic~t
c. 'He ~ ~r~ I~ ~in n~licnti~ ~y ~t be o',,,,=,~ed ~fore issue of ~,ildi~ Pemit.
d. U~ a~nl o~ ~in n~llcoti~, tl~ l~ildi~ Ins~etor wilt {s~ n ~ild[~ ~mlt to tim npplicnnt. ~h
i~mit ~mll ~kept ~ Om ~s ~ail~le ~r in~ti~ th~t tim ~rk.
~I~ACATI~ IS {g~ ~ ~o ~l~ lMi]di~ ~rt~nt for il& is~ of a ~tldi~
{~ildi~ ~ ~i~ of ~ 3~ o~ ~rl~ld. ~f~olk ~, ~ Yo~, ~ otber ~li~bl~ l~s, ~i~es or
~lari~s, for tim ~s~i~ of hdldi~s, ~i~i~s or al~erari~, or for ~,~1 or
(S~g~ture o[ f 8 co~rati~O
State ~eld~er applicant is o~ler, lessee, agent, architect, enlist, ~tmrnl c~tr~tor, el~tricisn, ph~r or hllh~l
.... ~.~.~.~ .......................................................................................................
~t~ * E, le~ ................................................................
(Nam and title o[ corporate officer)
lkdldera l,lcens~
Pl~,~r, ,.ice~,, ~o ..........................
gl~trici~u l.i~ ~ ......................
Otl~r ~'s Lice~ ~ .....................
I. i~ati~ of 1~ ~ ~dd, p~l ~rk viii ~ t~ ..............................................................
I~ ~r Strut i~et
~t7 Tax ap . ~ ~tl~ ................ Bilk ................ In~ .~ .............
~,~. ~./K.~.~.d.,.~, ........ ,,~ ~ ~...~t~ ..... ,~ .... 8 .........
2. State ~isti~
a. F~ sti~
3. i, httn'e of s~tk (d~ck saiids applic.~ble); Nant Building ...... Addition .......... Alteration .........
J~jmir ............ ~al ............. I~11tlon ............ Other ~ ...........
4. ~Lin~t~l ~L .. . ~ ........... f~ ..............................................
~t~9 le Fa~. I ~ ~ /I,a9(t° ~.~id ne filing this al~licati~)
If garage, ~dmr o~ ~s ....... ~ ............................
6. If 1~mi~mas, ~mrcial or ml~'~aqm~, s~ei~ ~ml:ure m~ extent of eadt ty~ of u~ ......................
I. I)iu~n~i~m o~ ~iati~ strictures, if any/ ~mt ................ ~ar ............... ~pth .................
I~i~lt ......................... ~dmr of Stories ......................
Din~naiam o~ ~m stng~re ~lth aiterattim or ~iti~s: Fret ............... ~ar ...............
I~pth .................... I~J~lt .................... ~ii~r of Stories ...............
~t. ,,t.~..i~ oe.,..~ ~ ~.~.~: ~ ...... g.~.' ..... ~ ...2.~: ....... ~,a, ...~.' ......
~ I~i~lt ......................... ~dmr of Stories .... ~ ...........
9. 8J~ of lot: l~t .................... ~ar .................... ~pth ......
,0. ~,,~ ,,~ ~,.~.~ ~.l..~.~g.g... ~ o~ ~,o,,~ ~ .~a~.v.6~...~.e./&~ ............
II. ~m or u~ all,trier in ~lldl prmi~ a~ aimt~ .. ~.;f ~g.~.$.¢~.( .........................................
12. ~ma propo~l mmt~tl~ violate a~ ~flng I~, ordi~e or r~ulati~: ...... ~ ..............
13. ~111 lot Im r~r~ .................... ~ill ~aa fill Im r~ ~m prml~a:
· ~ of C~tr~tor .......... g. ................... &~reas ............................... H~ ~ ...............
15. lo Ihia p~rt~lthln ~ fat. of a ti~l ~tl~? * ~ .......... ~ ...~...
PI.OT DIAC, RAH-
I~ate clearly xed distinctly ali Imlldioga, ~Isetlmr existing or proposed, and imlicate all act-back dimensions
property lln~a. Oi~ strut taxi block ~ll~r or d~acriptio~ ~eonrdlng to deed, and alg~ street rwms and ir~licate
,d~etlmr interior or corner lot.
I1~ ia the ...................................................................................................
(C~tractor, al~ntgcorporate officer, etc.)
of said ¢~n~er or o~n~rs, mid i8 (haly ~tl~rl~ to i~rfonn or htme i~rforn~l the ~id ~ck taxi to n~ke ami file this
al~licatilm; that all stammers ~x~tal~ in this nl~licati~ are tn~ Lo the Im.c of his ~1~
thac tl~ ~rk ~ill I~ ~rlon~l in tim u~ea~r ~t foith in the application fil~
~ to I~fora ~ Ods
NO.
~alif~ ia 8uff~k ~