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Home My WebLink About31765-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31721 THIS CERTIFIES that the building ALTERATIONS Date: 08/03/06 Location of Property: 1175 WEST HILL RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 4 Lot 23 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 18, 2006 pursuant to which Building Permit No. 31765-Z dated FEBRUARY 1, 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 ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONNA WEXLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2089258 06/26/06 PLUMBERS CERTIFICATION DATED Rev. 1/81 07/27/06 PECONIC PLUMBING & HEAT. Authorized Signature JUL 27 ^G Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 83&- ) 000 7�5- 9300 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. 11' a`# -Ob New Construction: Location of Property: House No. Old or Pre-existing Building: Street Owner or Owners of Property: F 111 _ �ex Suffolk County Tax Map No 1000, Section TCS Block Subdivision Filed Map. (check one) �k AAe_xxll o.;d Hamlet Lot -?3 Lot: Permit No. 3 L ? Date of Permit. a ( 07o Applicant:c�- Health Dept. Approval: Underwriters Approval: Planning Board Approval: \ r� a tnHp S�r� Request for: Temporary Certificate Fee Submitted: $ 6,Q,r.-)0�l0 ca -z- 3l?a Final Certificate: ✓ (check one) Applicant Signature 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 ALAN HUBBARD ELEC. P.O. BOX 2241 126 CLOVER PLACE AQUEBOGUE, NY 11931, Located at 1175 W. HILL RD SOUTHOLD, NY 11971 Application Number: 2089258 Section: Block: Lot: DONNA WEXLER 1175 W. HILL RD SOUTHOLD, NY 11971 Certificate Number: Building Permit: 31765 2089258 BDC: ns11 Described as a Residential 600-1199 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be, in compliance therewith on the 26th Day of ,tune, 2006. Name OTY Rate Racine Circuit Type Appliances and Accessories Range 1 0 50 Amps Dish Washer 1 0 1.2 KW Exhaust Fan 2 0 F.H.P. Wiring and Devices Switch 20 0 General Purpose Receptacle � 0 General Purpose Fixture 27 0 Incandescent Multi Outlet System 9 0 ft Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp Dryer Receptacle 5 0 GFC1 Paddle Fan 4 0 Service 1 Phase 3W Service Rating 200 Amperes Service Disconnect: 2 100 cb Meters: 2 seal Continued on Next 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 ALAN HUBBARD ELEC. P.O. BOX 2241 126 CLOVER PLACE AQUEBOGUE, NY 11931, Located at 1175 W. HILL RD SOUTHOLD, NY 11971 Application Number: 2089258 Section: Block: Lot: DONNA WEXLER 1175 W. HILL RD SOUTHOLD, NY 11971 Certificate Number: Building Permit: 31765 2089258 BDC: ns11 Described as a Residential 600-1199 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 26th Day of June, 2006. Name QTY Rate Rating Circuit Type 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. Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Building Permit No. Owner: =�gUFFO�,�coG� � x BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION (please print) Plumber: -f'eC![ I C' l AL-,aZ. (please print) lead. Fax(631)765-9502 Telephone (631) 765-1802 I certify that the solder used in the water supply system contains less than 2/10 of 1 % I /A � — � / bers Sign e) Sworn to before me this day of 011 Notary Public, County Ndm POAIW Shroud New YXk N& OIL06070081 /D 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. 31765 Z Permission is hereby granted to: DONNA WEXLER for : Date FEBRUARY 1, 2006 ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1175 WEST HILL RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0004 Lot No. 023 pursuant to application dated JANUARY 18, 2006 and approved by the Buildinq Inspector to expire on AUGUST 1, 2007. Fee $ 150.00 ORIGINAL Rev. 5/8/02 3176s z. TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING/ STRAPPING j FINAL ]FIREPLACE A, `CHIMNEY [ ]FIRE SAFETY I�PECT� 0 � MAR S: DATE i �-1�404 INSPECTOR--� a_1 1 i ■�■ p_ 3i7�Se TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION IST [ ] RO GH PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING/ STRAPPING [ ] FINAL [ ] FIREPLACE A CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR FIELD INSPECTION REPORT DATE COMMENTS FOUNDATION (1ST) ------------------------------------ w� $ y FOUNDATION (2ND) � C z ROUGH FRAMING & PLUMBING 0 Jy y c y U INSULATION PER N. Y. STATE ENERGY CODE t� y FINAL FINAL Lot - p N ADDITIONAL COMMENTS O z m �Z A S� b' m � b G H O z x �r y x d b y HILL Ii a _ E • saa-lor.ck POAD. r .... l� � i W E S' N ILL RDA's TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ Examined "? 20--L— Approved 20__, Disapproved a/c Expiration , 20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval /L Survey S PERMIT NO. / � b J Check_ Septic F( N.Y.S.D l Trustees Contact: Mail to: APPLICATION FOR BUILDING PERMIT INSTRUCTIONS Nos-a?oa r- 63s- 3/?9 Date / �/ jo� 20,0(, 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 ars, 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. (Signature of applicant or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises Oon n , t "/ ,/ (As on the tax roll or latest If applicant is a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. 07`/ /� Plumbers License No. Electricians License 1 Other Trade's License No. 1. Location of land on which proposed work will be done: //7 -� /„ /PC ZZ 49s4Z „ r,7, / / &/ // 7 Z House Number Street Hamlet County Tax Map No. 1000 Section 70 ,B1o& -t4 Lot !:� 3 Subdivision Eile,'(,;11ap No. Lot (Name) 2. State existing use and occupancy of premises an3�jntended use and occupancy of proposed construction: a. Existing use and occupancy IA'PS i Do, 'a J b. Intended use and occupancy %Jep c��/ Nature of work (check which applicable): New Building Addition Alteration_ Repair Removal Demolition Other Work 4. Estimated Fee (Description) (To be paid on filing this application) 5. If dwelling, number of dwelling units ----/ _Number of dwelling units on each floor 1 If garage, number of cars ---9— 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front -5 S ` Rear y s _Depth Height & Number of Stories Dimensions of same structure with alterations or additions: Front 35 Read S� ' Depth 6(d ( Height /! r Number of Stories / 8. Dimensions of entire new construction: Front 5 -S-( Rear SA'/ Depth Height & ` Number of —Stories/ 9. Size of lot: Front /00 Rear /OD Depth �i>p 10. Date of Purchase it Name of Former Owner a01 b Z7-) /, h 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 1, ';/d' 13. Will lot be re -graded? YES NO C,�'Will excess fill be removed from premises? YES NO Fns v1 s1... a?da� 14. Names of Owner of piemiseQnv„z b✓ol/,/ Address Ny 1197, Phone No4,e�IA name or Name of No. ;?-Ir ,2 702 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES r-1 NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE 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) SS: COUNTY OFS7 tr'�/y�' ) �i,rr, /c�vv✓ �1 being duly sworn, deposes and says that (s)he is the applicant (Name of individual si ' g contract) above named, (S)He is the (Contrae 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 this V" day of 20 GSD Notary P i V= L. LOPER P StO m—dPUwiMk [gnat e of Applicant ENERGY CODE CALCULATIONS CHAPTER.5 SECTION 501 Detached One and Two Family (For Non -Electric Heat) For: POP "% e t4le-e & _tt7 We, R— eq a✓ a oM . Me •j rJ.h f+r• Design Criteria 5750 Degree Days Zone 11B Dated:ST / i P o 4 SUBSYSTEM AREA DESIGN "U" U[I" CODE . " DESIGN UA CODE UA Exterior Walls 2 y5G O./33o 0.14 330,22 3a3,89 Ceiling Roof 9 2 2 p, o 25" 0.031 y y, 3 v 61. /3 Floor Over Unheated Space 0.05 Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 Crawl Space Wall 0.06 379,52 yoy,9-7 NOTES. Construction shall comply with 502. 1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 501 The mechanical systems and equipment including: HVAC Equipment, HVAC Systems, Duct Systems, Ventilation Systems and Insulation of Piping Systems to meet requirements of Section 503 Service Water Heating Systems & Equipment to meet requirements of Section 504 Electrical & Lighting Systems & Equipment to meet requirements of Section 505 L To the best of my knowledge, belief, & professional judgement, these plans are in compliance with,the code. —/' 06 J� b i\v i•�GV 5p Y��._ p,.aa• 0 N. 88"S.z 40" Y✓ scale SC..= r 21 = 0704r' /8;t I r y MAP O• r PROP 4T �' us�nlawa.w.ra. SL�RVEYEO FOR u m ywlyn wvam a r ssc WHYMOV Owl" sale sAw s scssuw. AGIVOR sELAINE ._, -_.G I 500 , 1 c air awn wr Hart Mw0 -- 1 to uom A T ru awe wor s.wre� i to A v"m an wff• rr • 1 .wrr.w�arrw*� 1{ AM=== OY IM rl1Y A r ' me Mrn4� AM �r �.rr�iAa1 GU-�rant�Gd .`o I Aoa.owra'M� CHico4� Tr `!c .'ns:/re;;ce Gonrr`la;r� I c .4 ��-e: Lot era•• ,hers showx, vs SJf'✓34ev Auq. 10, :97z. ref�a' to rn�r 'Cp`yG: NC.rk; vAN TLl%L SON rr%a z. v .n i I �.-- I I r1 J' rs/CC Irr:. 5673 •• LicensP� wand Surveyorl � Crsen�a: t N. Y. i A: G � � to h scale SC..= r 21 = 0704r' /8;t I r y MAP O• r PROP 4T �' us�nlawa.w.ra. SL�RVEYEO FOR u m ywlyn wvam a r ssc WHYMOV Owl" sale sAw s scssuw. AGIVOR sELAINE ._, -_.G I 500 , 1 c air awn wr Hart Mw0 -- 1 to uom A T ru awe wor s.wre� i to A v"m an wff• rr • 1 .wrr.w�arrw*� 1{ AM=== OY IM rl1Y A r ' me Mrn4� AM �r �.rr�iAa1 GU-�rant�Gd .`o I Aoa.owra'M� CHico4� Tr `!c .'ns:/re;;ce Gonrr`la;r� I c .4 ��-e: Lot era•• ,hers showx, vs SJf'✓34ev Auq. 10, :97z. ref�a' to rn�r 'Cp`yG: NC.rk; vAN TLl%L SON rr%a z. v .n i I �.-- I I r1 J' rs/CC Irr:. 5673 •• LicensP� wand Surveyorl � Crsen�a: t N. Y. i ENERGY CODE CALCULATIONS CHAPTER.5 SECTION 501 Detached One and Two Family (For Non -Electric Heat) For: J% a r' e Ole,r /L t 7 5r 1411—/?ei, We— - I — Y -t r Design Criteria Ry% 5750 Degree Days Zone 11B Dated: s "hl i i B o 4 SUBSYSTEM AREA DESIGN cam„ CODE. CCU2 DESIGN UA CODE UA Exterior Walls 2 4/.56 0,1330 0.14 330.21 3V3,814 Ceiling Roof / 12 2 p, o 25' 0.031 y9-30 6/. 13 Floor Over Unheated Space 0.05 Pleated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wall 0.1 Crawl Space Wall 0.06 379.52 y0t/,9y NOTES. Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Envelope Systems to meet requirements of Section 501 The mechanical systems and equipment including: HVAC Equipment, HVAC Systems, Duct Systems, Ventilation Systems and Insulation of piping Systems to meet requirements of Section 503 Service Water Heating Systems & Equipment to meet requirements of Section 504 Electrical & Lighting Systems & Equipment to meet requirements of Section 505 To the best of my knowledge, belief, & professional judgement, these plans are in compliance with,the code. / 8/0 L KI, n do 6,., s c, 4 e d k, 1,* t poa N, vvf -S S4 It F slz p Opehl" 5 f fec.'(1 vf PrCssokp vv, rl 'Z IJIIIA Pre SSLJF,e Not Silt Make 1 opt,% j r Arec he A r 4 cle v et, PC a /a ll 100 2 2 2 3, 7-t Is P5 4141, S 6 u -2 6.6y 10 2e-, rw 12,03 rw ?o32 2.147 44, 212:5 30 TW 3031 14,74 g. 20 -z -7 TVV Z L) 7. y3 Z 4>7 2 /P., f 23;2 2S,41 0 165f W1 2 [-2'4 St 23,6 ........ .. —.. 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Y � i i r 4 F( F 1 { 7j tl f 30310-v i 6°G8 rw 30310—` Qoo61! boa rW3.b131u.ti ;I I I f Lponf Roam ---- i I w IiO-�e- -A'-- -—.G7fhlih_C_ I J D 1 I SOOW� 0' AS NOTED DATE: a ✓ B.P. FEE J BY: NO IFY SU -DING DEPARTMENT AT 765.1802 SAM TO 4PM FOR THE S' FOLLOWING INSPECTIONS: 1Je� .W 3D Sti :rW'3o$� ,jQ 2S! ps C Pi p° 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 8 PLUMBING 3. INSULATI N i ONSTRUCTION MUST I LETE FOR C.0 I' ALL CONST UCTION SHALL MEET THE REQUIREME I YORK STAT NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPL. WITH ALL CODES OF �I NEW YORK STATE & TOWN CODES i 6°G8 rw 30310—` Qoo61! boa rW3.b131u.ti ;I I I f Lponf Roam ---- i I w IiO-�e- -A'-- -—.G7fhlih_C_ I J D 1 I SOOW� 0' AS NOTED DATE: a ✓ B.P. FEE J BY: NO IFY SU -DING DEPARTMENT AT 765.1802 SAM TO 4PM FOR THE S' FOLLOWING INSPECTIONS: 1Je� .W 3D Sti :rW'3o$� ,jQ 2S! ps C Pi p° ' UNDERWRITERS CERTIFICATE RQQUIR D ti Q ----,PPnQ-C.& / ap1le t, le -. a/— scoi,. �o 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE 2. ROUGH - FRAMING 8 PLUMBING 3. INSULATI N 4. FINAL - ONSTRUCTION MUST BE COM LETE FOR C.0 ALL CONST UCTION SHALL MEET THE REQUIREME TS OF THE CODES OF NEW YORK STAT NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. COMPL. WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIF ED AND CONDITIONS OF SO[ THOLD TOWN ZBA SOC. HOLD TOWN PLANNING BOARD ,J SOLTHOLD TOWN TRUSTEES oN.Y.S. VIE DEC II' N OCCUPA CY OR 3 USE IS U 4LAWFUL WITHOU CERTIFICATE OFOCQIPANCY AMCONSTR CTION SHALL 11 MEET THE REQUI REMENTS OF THE CODES OF NEI V YORK STATE. ' UNDERWRITERS CERTIFICATE RQQUIR D ti Q ----,PPnQ-C.& / ap1le t, le -. a/— scoi,. �o i f , it I r— T W S° G P -W 30310–ti Doa dle dna 7W 3AY 31 t I `7 a4 Ir o J I i N - L n en r t , 13 lh Sl V 3d ^ ri I � fh IYI I sties —� S y 01 I - I i f I ✓�. PS C Ps C0 - -_ I i W 305y "I'W 30 �• �f P zs r i _(ZG_q_�inh ✓e , �I ,Sc a A