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HomeMy WebLinkAbout27542-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-31440 Date: 02/22/06 THIS CERTIFIES that the building ALTERATION Location of Property: 8765 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 5 Lot 10 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 4, 2001 pursuant to which Building Permit No. 27542-Z dated AUGUST 10, 2001 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 ALTERATION OF ATTACHED GARAGE TO HABITABLE SPACE OF EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN F. & DIANA RIDDELL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N-579465 12/04/01 PLUMBERS CERTIFICATION DATED 02/16/0666 PECONIC PLUMB.&HEATING A horiz d SignYture Rev. 1/81 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 Certificate of Occupancy 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 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 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. 2 - C(, New Construction: Old or Pre-existing Building: (check one) Location of Property: 7). nla-t-'-9 ( -iu IeL- j cD s 3 to House No. Street Hamlet Owner or Owners of Property: -�TDJINI + 'b1 Pc4A 11Cr h4fLt_ Suffolk County Tax Map No 1000, Section Block Lot Subdivision Filed Map. Lot: Permit No. ,2751,;1. -2- Date of Permit. Applicant: Health Dept. Approval: & (A Underwriters Approval: Planning Board Approval: �j 1 4 Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 2 7 Applicant ' ature r Co -E: 3 ► Yya 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. 27542 Z Date AUGUST 10, 2001 Permission is hereby granted to : F JOHN & DIANA RIDDELL SOUTHOLD,NY 11971 for ALTERATION OF EXISTING GARAGE TO HABITABLE SPACE AS APPLIED FOR at premises located at 8765 NORTH BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 079 Block 0005 Lot No. 010 pursuant to application dated JUNE 4 , 2001 and approved by the 9uilding Inspector. ee $ 150 . 00 Authori Signature ORIGINAL 2/19/98 THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 ,000121 EIUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK, NY 10038 Date DECEMBER 26,200113250601/01 Ap 1' No. on Ill ie N 579465 THIS CERTIFIES THAT On T N0. 27547 only the electrie#1 egWpment as described below and introduced by the applicant named on the above application number is in the premises of JOHN RIDDELL, 75 REYDON DRIVE,, SOUTHOLD, NY in the following location• �] Basement (3 lst Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on DECEMBER 04,2001 and found to be in compliance with the National Electrical Code. FIXTURE — FIXTURES RANGES iCOOKING DEcics OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHESWA FL NT I OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 4 12 10 4 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RIC'PT.1 TIME CLOCKSBELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.►• 4AR H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AM►S. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NR S E R V I C E AMT. AMP. TNPE E40UIP. 1 0 7W i t 3W i+3W 3 e 4W NO.OF ER OND: OF CC CGOND. NO.OF HI-LEG OF M1-L6EG NO.OF NEUTRAL$ OF.W.0.NEUTRAL OTHER APPARATUS: PADDLE FANS-2 G.F.C.It-2 PAUL R.BURNS LIC.#3897 L LM P.O. BOX 1061 SOUTHOLD, NY, 11971-0932 GENERAL MANAGER 11 Per [ThIsgordfiftftptq my f rept ►�Itt► In qny mQTtAOr:nlhlIR tq the 9M of th.dopTd If Incorrect.Inspectors may be Identified by their credentials. EN . HI COI Y.•OF. CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r o�osoFFOL/rA N Z Town Hall,53095 Main Road O Fax(631)765-9502 P.O.Box 1179 �� �� Telephone(631)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: 2- Building Permit No. 02-75Y,,2 -2— Owner: -]5Y,,2 —ZOwner: J)1�,-1k 1�2-101D—L — (Please print) Plumber: peCOn i e P-�-�-/ __ ��oo (Please print) 13-eeole— '3 Qex-y-y :II2 I certify that the solder used in the water supply system contains less than 2/10 of 1% lead, umb s Signature Sworn to before me this day of_ _ _, 20 Notary Public, County VICKI L.LOPER Notary Public,State of N-w York No.01L060700,.: Quaff"in a Lu l- C)4, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUG PLBG. [ ] FOUNDATION 2ND [ ] IN LATION [ ] FRAMING [ FINAL [ ] FIREPLACE CHIM Y REMARKS: i DATE /�` INSPECTO M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ;NSULATION OU LG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] FIREPLA CHIMNEY REMARKS: Len ke� DATE ( � �� INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ t] ROUGH PLBG. [ ] UNDATION 2ND [INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY RE RKS: /r1! O - - DATE 1617 Q INSPECTOR M-1802 BUILDING DEPT. INSPECT7OUGH [ ) FOUNDATION IST [ PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ) FIREPLACE & CHIMNEY REMARKS: DATE /b 6� INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION ( IST) b FOUNDATION _--(2ND) -- a C 5 OZ ROUGH FRAME 6 2 . V PLUMBING INSULATION PER N. Y. STATE ENERGY 3 CODE 1 FINAL y` ADDITIONAL COMMENTS: H tv x 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 / Surveyy PERMIT NO. _­25-7 d _ Check* Septic Form N.Y.S.D.E.C. Trustees Examined 20_ Contact: Approved 20 Mail to: Disapproved a/c Phone: 7 (e - / f)0 Building Inector 4 , 1_� 4 APPLICATION FOR BUILDING PERMIT / `1 200 / INSTRUCTIONS Date a. This application MUST 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 the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ,JASo,f C_ . (Signature of applicant or name,if a corporation) c7 • -3oZC 15-7- q) -joJTT1nth (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, ele E c18t �t�l�t iuilder e, nz"5)�cTo REQUIRED Name of owner of premises � U // I DQ��L(— ">' 6 15 N l i L I> (as on the tax roll or latestP73 �� FEE: ISS If appl nt is a corporat' signatur duly auth 'zed officer NOTIFY BUILDIn1G ��­Pk ' 785-1802 9 AM TO 4 PM1 r(JMR (Name and title of corp a officer) FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRE: / ` L FOR POURED CONCRETE L/ders License No. / r7 2. ROUGH - FRAMING & PLUMBING Plumbers License No. OCCUPANCY OR 4. FINAL - CONSTRUCTION MUST Electricians License No. USE IS UNLAWFUL BE COMPLETE FOR C.O. ERTIFICATFALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. Other Trade's License No. AC OCCUPANCY STATE CONSTRUCTION & ENERGY CODES. NOT RESPONSIBLE FOR 1. Location of land on whit proposed work will be do e: KSIGN OR CONSTRUCTION ERRORS 7S- CWOA7 %re ) YLc SooI 40i._0 House Number Street Hamlet County Tax Map No. 1000 Section_ _-72 -Block 0.5—— Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of roposed construction: a. Existing use and occupancy 'S/ 0( ,LL-- �J}r�^( C l r L n/L�7 b. Intended use and occupancy 5e, MCS L-� [ 1<a �1� �J/I��f L� C��L-� ��✓��� 3. Nature of work (check which applicable): New Building Addition Alteration t� Repair Removal Demolition Other Work (Description) 4. Estimated Cost 64) 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 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: lid 13. Will lot be re-graded 1,S a Will excess fill be removed from premises: YES Ng 14. Names of Owner of premises Address Phone No. 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 a IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 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: COUNTYOF I ) 'S4 J C- being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate 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 all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the applicationAled therewith.' S75 before me this 5' �— day of 206 / Notary Public Signature o' pplicant HELENE 0.HORNE / j Notary Public,State of New York No.4951364 Qualified in Suffolk County Commission Expires May 22, 51003 GI A+ -A(:;n co J v C-e s l and \ 19-9 3 s_,_ 0 -b�3 \h" Ex ISrING EX/STj�/� OIL 'TANK 3'")° C �'I L_I►.f G _� 3 1- T-0 � Mev MAIrJ ^ PROVIDE A -SCALD AN OR ROOM OFF Ic-C THERMAL SH CK PREVE NG DEVICES AS PART. 90 .10) N.Y. STATE ILDING COI E.11 6 3RTI"I oDm y if rtubingi ;15s11 f0 ter istribr.s mg By : pip Shap F;., AAs- O DL d� es K n ori t�EWJ �OI�I C�c7-E su;� UN ITERS CE fIGAiE REQUIRED, SL-A3 `TO i E?CI ST- I Nld 1-1 cx1S T= +I 7Er\I �J PLUMB R CE 1 ONLEA CONTEA P;PORT 6-XI5Ti,J4:!A o,IE,_Nc 4D N3iy CERTIR TE OF t C t. :,.�` �Cip2 a6 �Er�odEd 1D Fig ED ISI ro ��; ,. SOL DE US ,. as , , M�Tu I I-g SUPPLY -o s Z EXCEED 2110 of 1 �,441CUAABINQ Sc AU; ; �y '_ � O AL1.PLUMBING WASTE &WATER LINES NEED PROVIDE OPENINGS tOR = EKISTIh�G 2" X �{-�� i,J{}C.(l TESTING BEFORE COVERING EMERGENCY ESCAPE AS = NEw 7- x 4 b./,kLi P 16 ` p , ROVIDE SMOKE-DETECTING REQUIRED BY PART. 7144 OF N.Y. STATE BUILDING CODE. AL_L_ C_6_jLjAJC.. a tI���T- I_o ALARM DEVICES AS TO PART. 721.1 N.Y.S BUILDING CODE. 2 �IDDI1.c, ��1r�G� Co�IUEr't sio� , SUMMARY OF TOTAL THERMAL RATING If the Total Thermal Rating is zero (0) or greater, the proposed design for the building envelope complies with the Energy Code, THERMAL TABLE AREA U—VALUE RATING USED 19) A. ROOF/CEILING ,O$Z 4� 4-4-z,- �A B. NET WALLS 4- � „(S7 fiZg _ C. GLAZING Window �� - -13 Window Skylights D1 , FLOORS D2. BASEMENT/CELLAR WALLS Wall Perimeter Feet Exposure Above Grade Feet Wall U-Value Depth of Wall U-Value Below Grade Inches D3. SLAB INSULATION Slab Perimeter 07.5 Feet 1Z Insulation R-Value E__ 6 —8 2" R1Gio 5- /0 E. INFILTRATION CONTROL Conditioned Floor Area Sq. Ft. F. SOUTH FACING GLAZING South Glass/Total Glass Percent G1. Area/Gross Wall Area Percent Conditioned Floor Area Sq, Ft. p ApCti 1� � IIJSC. TOTAL THERMAL RATING �d 22334 �o 7 y a v TOWN OF SOUTHOLD PROPERTY RECORD CARD /a OWNER STREET - VILLAGE DIST.1 SUB. LOT ep FORMER OWNER p � A � ACR. S W TYPE OF BUILDING � �: g�uder tier ��' �o .��.,< ,r.+�•..J ,� RES.aj SEAS. VL: ' FARM COMM. CB. MICS. Mkt. Value i LAND IMP. TOTAL DATE REMARKS .4 q,Y oa S -- o � 9vv /30 ! -,BPI Qo a10 Fa 7 , G on ��a � tas 3oa 7 oo Jz z3 3 42-L_1193► -©�n�' -t� ��e_i� - aa�sz�a C-L) - V <r6 v � y AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per VGlue Acre Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowland DEPTH House Plot BULKHEAD Total DOCK ■ s■■■■ ■ ■■e■■■■ MEMO e r ■■ ■■.■■....■....■..�NONE ME OMNI ON MEN 0 MEN ■■ ME No 0 NONE NONE .....■■...■■..OEM ..... ■■MIll ME ■sMEN■■■■■■■■■son_■■■■■■■■■■■ ■■N■■■■ C■■■■■■■■ ■■■■■■■■■ moo in Ml mmi ■■■ N■■■MEN III All 0 11001111 ■■1■■■■■■■■■ ■■■�N■■■moi■■■■■I■■■■I■■■■■■■■■ ■MEN■■■■■■■■■■i■■■ NN■■ i■■■■■ ■N■■■■■■■■■■■■■■ ■■■■■N • �1f�7I � AUPPOW COMITY 17i•ART1t W OF tft1N SMACM cP FOR APPROVAL OF OONVOWTiON ONLY DATE H&REF.NO. N/�ic(�AC�NrI APPROVED Ge,4, SURVEY OF BP " of 0 PROPER T Y —"r� Tho l Pt/ ocathna wap,wd oaaape� M'a AMaon w Aa+�NOM FAro O?. '9N^r obasrvationa and or Atipa data eb hnr oNtwa doA F AT QA YVfEW ^R. TOWN OF SOUTHOLD o � S FFOL 79 CO05 T Y,10 N Y. v� •WELL 2 tido v 4 ' o ??� Scale 1" = 40' May 30, 1990 % JULY 11, 1991 ( found a tion �� a�' r �' ``, z. 9ps, May 13,1992 (rod) '}11r1 COUNTY DEPA MM OF NEA H SERVICES �a• _ vwAE FAMILY Notum ONLY pittditL A iQMS.REF.NO 96;i:2Q az.W ,r.s a TM sewagp Qisposat and water supply tacilities for this location have been inspected by this Deportment and/or AND .. /! r/) O p� ' V/ Othet r nd (ou to¢esa8story, a Chief 4 eureso of W (astewaW Mannstemat TE Er i NT y oA rA � s ` fio waAarataM andano DARX BROWN LOAM 1/�Ri_ dw�Il BROWN CLAYEY LOAM2S. N )�• Z O*. y0' CERrIFIE'D TO: BROWN CLAYEY SAND B � (/ DOb `* DONALO OSAAV DWN~of BROWN Aep" ro 1?0 A. COARSE SAND WWAApTEE/R/RTO BROWN 'r SAAD AREA = 33,807 sq ft. OLANQs PCR � �taF.NJ. ME,-. 11i1 Lit U� O�9�O O,W<H JUN 22 M Prepsrod m tc¢ordsncs with the minimum N S tC. NO. 49618 Pc.A standiorde for title-surveys as estabtiahod by the L.I.A.L.S. wd spproved and adoprad R P.C. for owh uoe by Tho Kew York Stato Land S.C. DEPT, OF Alit Aaaoolodw. P. 0 HEALTH SERVICES SOUTH LO, Ai:Y. 11071 90 204 A