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HomeMy WebLinkAbout31189-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-31650 Date: 07/07/06 THIS CERTIFIES that the building ALTERATIONS Location of Property: 140 (AKA 819) LINNET STREET GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 48 Block 3 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 6, 2005 pursuant to which Building Permit No. 31189-Z dated JUNE 8, 2005 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 TO AN EXISTING BASEMENT AREA IN A SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to TODD JENSEN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2075148 10/19/05 PLUMBERS CERTIFICATION DATED 02/09/06 RBT.VANETTEN PLUMBING AhorVVed S' nature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 i, APPLICATION FOR CERTIFICATE OF OCCUPANCY - r I JUS Z 9 This application must be tilled in by typewriter or ink and submitted to the BuildingtDepartment with the follo}ving: A. For new building or new use: 1. Final survey of property with accurate location of all buildings, property lin Tis, 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. to —,2q—Olt--) New Construction: Old or Pre-existing Building: (check one) Location of Property: Hous Street Hamlet Owner or Owners of Property: Suffolk County Tax Map No 1000, Section _Block Lot _�:7 Subdivision Filed Map. _ Lot: Permit No._ ��Date of Permit. 61F? t® Applicant: Health Dept. Approval: �Undenvriters Approval �><51 Planning Board Approval: Request for: Temporary Certificate Final Certificate_ (check one) Fee Submitted: $ 5� p licant Signature CiZ-e,e. 7asr8' co2731GS0 a rr��ns�n�nrs�n�nrrrs��n��n�n�n�.r�rs�.nr�rrrs�nrnrnrs�rsrsrr�n�nrnrn�rnrnrsrr�s�nrss�n���n��n��n��r�rns�n�ns� o 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 51 101 BUREAU OF ELECTRICITY 5 55 40 FULTON STREET — NEW YORK, NY 10038 C� 5 CERTIFIES THAT r5 5 Upon the application of upon premises owned by 5 C5 55 REP ELECTRIC TODD JENSEN 5 P.O. BOX 635 819 LINNET ST 5 c MATTITUCK, NY 11952, GREENPORT, NY 11944 5 S Located at 819 LINNET ST GREENPORT, NY 11944 5 Application Number: 2075148 Certificate Number: 2075148 5 Section: Block: Lot: Building Permit:31189 BDC: NS37 Described as a Residential 0-599 square ft. occupancy, wherein the premises electrical system consisting of r5j 5 electrical devices and wiring, described below, located in/on the premises at: [5 �5 Basement, finnish basement, 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed rDS+j 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 Sauthority having jurisdiction, and found to be in compliance therewith on the 19th Day of October, 2005. 5 Name OTY Rate Ratine Circuit Type 5 5 Alarm and Emergency Equipment 5 Sensor 1 0 Carbon Monoxide 5 5 Sensor 2 0 Smoke 5 5 Appliances and Accessories S 5 Exhaust Fan 1 0 F.H.P. 5 Wiring and Devices 5 S Outlet 5 0 Fixture 5 5 5 Fixture 5 0 Incandescent Outlet 22 0 General Purpose 5 Receptacle 11 0 General Purpose S Switch 13 0 General Purpose 5 Paddle Fan 3 0 r 5 Receptacle 3 0 GFCI 5 5 5 5 5 5 seal 5 5 I of I 5 5 5 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 rJ� crf�PrJrPrJcP rJrJrr�rJ cPrJ rJ�rJrJ�Nr�cPc frJ�tP cicPcPrJ�rJ�rJ�rJ�rJ�c!i P�PcPrJ@PcP rJ�rJ�rJ�rJ�rJ�rJ�rJBP O _ �r- h -o f1►FF1 G. 0 Town Flat[, .57095 Main Road Pax(6 11) 765-95W P.O. Box 1171 10 'telephone(631) 745-1a Southold,New York 11971.0959 e BUILDING DB3'ARTMIiNT TOWN OF SOUTHOLIa CERTIFItrA ION Date: Building Permit No.-- Owner: rO a( j—e-j�-,S f.� (Please pi nt) Plumber:. iD � Vl�h E pfiease pint) I certify that the solder u d in the water supply Nystenl contains less than 2/10 of l% lead. (Plumbers Signature) Sworn to before me this __ day of 20.6iO_ . Notary Public, -JA .--- ounry BONNIE).DOROSKi Notary Public,State of Newyork No. OID06095328,Suffolk C my Term Expires.luly 7,20 OWNER 0��UTHOLD PROPERTY RECORD CARD O _ STREET/ 7 VILLAGE DIST. SUB. ,/ LOT en Se l RMER OWNER N E ACR. '' J7 I a e S W TYPE OF BUILDING RES. SEAS. Vl- FARM COMM. CB. MISC. Mkt. Value i { LAND IMP. TOTAL DATE REMARKS i aao boo -00 , S'D 01 SA4f ; YL wGt7 Ott j ,2 5-o y o o s o / o o Se 1Atild 4 `� a /d.„ 90 J.Pe a i,� �t✓ ✓ 300 900 P - t S J; vi-, / To AGE BUILDING CONDITION L-9s'4l NEW NORMAL BELOW ABOVEnsErn X40 Doo FARM Acre Value Per Value f ' Acre aJs 9a - Pa - Tillable 1 10 In (3p7$ a�$ g omali fim of dli,ellina Tillable 2 �CIO Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plat DEPTH BULKHEAD Total s DOCK 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. 31189 Z Date JUNE 8 , 2005 Permission is hereby granted to: TODD JENSEN 819 LINNET STREET GREENPORT,NY 11944 for ALTERATION TO AN EXISTING BASEMENT AREA AS APPLIED FOR at premises located at 140 LINNET ST GREENPORT County Tax Map No. 473889 Section 048 Block 0003 Lot No. 003 pursuant to application dated JUNE 6 , 2005 and approved by the Building Inspector to expire on DECEMBER 8 , 2006 . Fee $ 150 . 00 Aut or ed Signa ORIGINAL Rev. 5/8/02 •J� ` OF SOUTyo� TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING / STRAPPING [ FINAL [ ] FIREPLACE & CHIMNEYS [ ]] FIRE SAFETY INSPECTION REMARKS: DATE �� �y © � INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ SULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE ©� INSPECTOR 765.1802 BUILDING DEPT. INSPECTI N [ ] FOUNDATION IST [ ROUGH PLBG. [ ] FO�DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE O INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ FO ATION 1ST [ ] ROUGH PLBG. [ FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION qi REMARKS: DATE INSPECTOR ✓"� FIELD INSPECTION REPORT DATE COMMENTS ` y� FOUNDATION(IST) p6 y yt FOUNDATION(2�) z � o y ROUGH FRAMING& Q y PLUMBING 7 INSULATION PER N.Y. STATE ENERGY CODE V , cy FINAL ADDITIONAL COMMENTS N O z Im V b d O � z x r� ro y 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 4 sets of Building Plans TEL: (631) 765-1802 Planning Board approval FAX: (631) 765-9502 Survey www. northfork.ne outhold/ PERMIT NO. Check Septic Form N.Y.S.D.E.C. Trustees Examined 20 Contact: Approved 6br— 20 Mail to: Disapproved a/c Phone: Expiration , 1 Bu11d g fpeclor JUN Uu' 6 20 11 APPLICATION FOR BUILDING PERMIT — rcPT,pT. I Tpy�', OF ,t�l;'i�mtP, J Date 120 INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced 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 regulations affecting the property have been enacted in the interim,the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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. Qt A (Signaturepp ant or name, icorporation) 8(01 td AXAQ@t ny (Mailing address of applicant) 1 t9 0 State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder �ll k)-E 12 Name of owner of premises /l7 ���N S� (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. ` � f Plumbers License No. (t�4 NO Electricians License No. Other Trade's License No. 1. Loc do of land on hich proposed work will be done: _ �'l CY /-/A/�T .Sfi -7/ZE House Number Street Hamlet County Tax Map No. 1000 Section Block Lot Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intendeduseand occupancy,of proposed construction: a. Existing use and occupancy / ST P-y /-7 YI 1 U � i b. Intended use and occupancy �T� 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal Demolition Other Work I (Description) 4. Estimated Cost Fee A>),50 , OO (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. (C 7. Dimensions of existing structures, if any: Front .12-5 Rear -Depth epth ) Height Number of Stories Dimensions of same structure with alterations or additions: Front � � *ealr 4!Y, 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? YES N0:4- 13. Will lot be re-graded? YES NO-6)�-Will excess fill be removed from premises? YES NO n / t�( - 7'70'2'14. Names of Owner of premises �D ddress b��L��� Phone No. /b Q Name of Architect 1--f Address Phone No Name of Contractor L Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY l$ REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. 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) COUNTY O � SS: J—Ea5 ) being duly sworn, deposes and says that(s)he is the applicant (Name of individual signing contract) above named, (S)He is the 0AfX l/ — (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 application filed therewith. Sworn to before me thi day o 20 NotaryPubli Signat6ile of Applicant PATMCIA CORNIN Notary Public,Shah of New York No.01C05017852 Qualified in Suffolk County Commission Expires Sept 13.)a To - -,� �errnrt Number 25 2005 REScheck Compliance Certificate elikked py/Date New York State Energy Conservation Construction Code— REScheckSoftware Version 3.5 Release lb Data filename: Untitled.rck TITLE: Jensen COUNTY: Suffolk STATE:New York HDD: 5750 CONSTRUCTION TYPE:Detached 1 or 2 Family HEATING TYPE:Non-Electric DATE: 08/25/05 DATE OF PLANS: 5/16/05 PROJECT INFORMATION: Finished Basement COMPLIANCE:Passes Maximum UA=75 Your Home UA=52 30.7%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Basement Wall 1: Solid Concrete or Masonry 744 19.0 0.0 31 Wall height: 8.0' Depth below grade: 7.0' Insulation depth: 8.0' Window 1: Wood Frame:Double Pane with Low-E 35 0.330 12 Door 1: Solid 21 0.450 9 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, er calculations su ed with this permit application. The proposed systems have been designed to meet the New York Stat Energ Conservation ons tion Code requirements. When a Registered Design Professional has stamped and signed this pag they ar nesting b t of his/her knowledge,belief, and professional judgment, such plans or specifications ar in comp Builder/Designer f` yFf�9 Date U 2S 0 S K 0 9 � C 11 W "V" 0525 � S51ONP -,'rte SURVEY OF LOT 67 " PLAN OF PROPERTY OF we GREENPORT DRIVING PARK FILED DECEMBER 1,1909 FILE No.369 SITUATEL GREEWORT S TOM 50VMLD SUFFOLK COMM NY 'J EYED 07-15-03,PROP05ED ACTION 08-06-03 AMENDED 02-05-04,03-6-04,04-01-04 FOUNDATION LOCATION 01-23-04 FINAL SURVEY H-12-2004,1-2b-2005 SUFFOLK COUNTY TAX 1000-45-3-3 tqaJ� P O t./ C Jr � �'IlIl1pIll�lt m I � wpter servip—� 1W qa• Fe I MVf 50. o]ry 1 � I I v h EPI " C4 L of bN �Ulp h Zb p 1 ' I ,rip i�w11 I 4 stop 25- -_ - - ac„ cont. 2 Story stppP b Frame a a,� I House M or ss I D —-- 25 M h M o, I M 0I 0 'Lo 6t 6. 0 8i COD I LotLot 6T 1�1 I _ ° ,Lem i:n I woop OT—wi moo— _ I N82046'10"l,'' CERTEWm 50.0 j9 7wi. i bJ83m� ....... ._ ..., ._ --- NhC®aw�l5f�d7YNImmC��' i :: •.• _ . 'I .�, ....: i I I I APR i 4 au3I (21e o; yi19 . 54,FFOLK COUNTY HEALTH DEPT. I � I REF.4 RIO-03-0119 + NOTES: ._._...r�.v..-.... � AXLE FOIMD •-•-�--.� e....-...��.-,..� O PIPE FOUND ANTER 5ERVICE ENGASED IN PVC PIPE AS PER DEPARTMENT REGULATIONS FOR LOGATtV.61-WE®_831 980l THAN 10'TO SEPTIC SYSTEM , r;m»1nedd(ic JOHN C. EHLERS LAND SURVEYOR 1' AREA z 5.6255E 6 EAST MAIN STREET N.Y.S.LIC.NO.50202 GRAPHIC 50ALE I"= 20' RIVERHEAD.N.Y.11901 369-8288Fu369-8287 REF.\\NpurveIWPR0S\03-218.pm o7 III of A}bsscplh t:ieolae i, l' APPR VEDASNOTED ALLCONSTRUCIO- rN r�.�' rzWl �TaF�i 2cr G -:� --� MEET THE RENEWY ENTSOFTHE '' - DATE: B.P.# ��r�,� wwy���� __ i I',„`�,� .�!'IQ�M1Tr �fd • �P4th0�d. G�Y`1���- . , '(�7 '�'Yel"i” '� ' ', a - ��'"� " - - FEE: BY: �P L,,,,-PPDE$QFNEWYORKSTATF, PLUMBER CEF TIFICATION - NOTIFY BUILDING DEPARTMENT AT UNDERWRITERS CERTIFICATE ONLEADOCCUPA C �8 765-1802 8 AM TO 4 PM FOR THE II i – $° CERTIFICATED OCCUPANCY " - . . FOLLOWING INSPECTIONS: - REQUIRED '7j –� _ SOLDER USE IN WATER 1. FOUNDATION - TWO REQUIRED i I II I PSUppLySyS7 EmCANNOT FOR POURED CONCRETE -�" '� I 6 a 2. ROUGH - FRAMING & PLUMBING I I '2 Q I'{g i I(2. EXCEED 2/10, F 1 k LEAD. 3. INSULATION - - - �---, 4. FINAL - CONSTRUCTION MUST -�LIGI BE COMPLETE FOR C.O. #�1— �I,J I"j FJ(Y15f C.-1 ALL CONSTRUCTION SHALL MEET THE s� _..._._- � Y'{Rs4 F , REQUIREMENTS OFTHECODESOFNEW , C I • I YORK STATE. NOT RESPONSIBLE FOR Z �" 3 t a 1 DESIGN OR CONSTRUCTION ERRORS. 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