HomeMy WebLinkAbout32787-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32269
Date: 03/29/07
THIS CERTIFIES that the building ADDITION
Location of Property: 770 CHA~LIS PATH SOUTHOLD
{HOUSE NO.} (STREET) {HAMLET)
County Tax Map No. 473889 Section 51 Block 3 Lot 3.10
Subdivision Filed Map No. -- Lot NO. --
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MARCH 9~ 2007 pursuant to which
Building Permit No. 32787-Z dated MARCH 9, 2007
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 SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MICHAEL & CHERIE FINGERLE
(OWNER)
of the aforesaid building.
SUFFOLK COU~FI"fDEPARTMENTOFHEALTHAPPROVAL
ELECTRICAL CERTIFICATE NO.
PLUMBERS CERTIFICATION DA'r~u3
N/A
3026225 03/23/07
N/A
~/u' o/rind Si gna ture
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 unnsoal 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, Alterafions to dxvelling $25.00,
Swircaning pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $I00.00
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
New Construction:
LocatiouofUroperty: _ ql0
House No.
Owner or Owners of Property:
Suflblk Connty Tax Map No 1000, Section
Subdivision
Permit No. 3 ~]~ ~
ltealth Dept. Approval:
Planning Board Approval:
T '
Reques~ for: empma 3 Ce t~ficam
Fee Submitted: $ ~. ~5, ~
Dale
Old or Pre-existing Building:_ ~
hablis PMt
Street
_ 053
(check one)
Hamlet
Lo, 3.01
__ Date of Permit, ~'q'07
Filed Map. _ Lot:
_ Appnc.nt:__ LC//8 ,q, erle
Underwriters Approvak .......
.Fina[ Certificate:
b// (check one)
BY THIS CERTIFICATE OF COMPLIANCE THE la
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY ~
40 FULTON STREET ~ NEW YORK, NY 10038 la
CERTIFIES THAT ~
Upon the application of upon premises owned by r~
MICHAEL FINGERLE MICHAEL FINGERLE ~
770 CHABLIS PATH 770 CHABLIS PATH ~
SOUTHOOLD, NY 11971 SOUTHOLD, NY 11971 ~
Located at 770 CHABLIS PATH SOUTHOLD, NY 11971 ~
Application Number: 3026225 Certificate Number: 3026225 ~
Block: Lot: Building Permit: BDC: ns11 ~
Section:
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, sun room, Outside,
~ A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed
la herein, was conducted in accordance with the requirements of the applicable code and/or standard
~ by York, Department Enforcement and Administration, or other
promulgated
the
State
of
New
of
State
Code
la authority having jurisdiction, and found to be in compliance therewith on the 23rd Day of March, 2007.
~ Name QTY Rate Rating Circuit Type
la Miscellaneous
~ built 2003
as
la Wiring and Devices
~ 2 0 Fixture
Outlet
-~ Fixture 2 0 Incandescent
~ Outlet 11 0 General Purpose
~ Receptacle 9 0 General
Purpose
la Switch 3 0 General Purpose
~ Receptacle 2 0
GFCI
~ Paddle Fan 3 0
~ An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to
~ be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system.
seal ~
1 of I ~
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. -~
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
(THIS
BUILDING PERMIT
PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 32787 Z Date M3kRCH 9, 2007
Permission is hereby granted to:
MICHAEL FINGERLE
PO BOX 1615
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SUNROOM ADDITION AS APPLIED FOR. THIS PERMIT
REPLACES BP 27118.
at presses located at 770 CHABLIS PATH SOUTHOLD
County Tax Map No. 473889 Section 051 Block 0003 Lot No. 003.010
pursuant to application dated MARCH ,~-~/~--6~--~-~Dr~ed by the
Buildlng Inspeci~ io expire on 08.
Fee $ 0
Rev. 5/8/02
ORIGINAL
BY THIS CERTIFICATE OF COMPLIANCE THE
NEW YORK BOARD Of FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
40 FULTON STREET ~ NEW YORK, NY 10038 ~l~
CERTIFIES THAT x,~2_
Upon the application of
upon premises owned by
MICHAEL FINGERLE
770 CHABLIS PATH
SOUTHOOLD, NY 11971
MICHAEL FINGERLE
770 CHABLIS PATH
SOUTHOLD, NY 11971
Located at
770 CHABLIS PATH $OUTHOLD, NY 11971
Application Number: 3026225
Certificate Number: 3026225
Section: Block: Lot: Building Permit: BDC: ns11
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, sun room, Outside,
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 23rd Day of March, 2007.
Name QTY Rate Rating Circuit Typo Amount
Miscellaneous
as built 2003 $0.00
Wiring and Devices
Outlet 2 0 Fixture $0.00
Fixture 2 0 Incandescent $0.00
Outlet 11 0 General Purpose $0.00
Receptacle 9 0 General Purpose $0.00
Switch 3 0 General Purpose $0.00
Receptacle 2 0 GFCI $0.00
Paddle Fan 3 0 $0.00
Invoice Total $90.00
An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to
be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system.
seal
THIg Lg YOUR RECEIPT
1 of 1
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 OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ]FOUNDATION 2ND [ ]INS~JLATION
[ ] FRAMING / STRAPPING [,r/] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT COIISTRUCTION [ ] FIRE RESISTANT PENETRATION
REMARKS: ~ ~
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ]~A~UGH PLBG.
/
[ ] FOUNDATION 2ND [ ~/] INSULATION
[ ] FRAMING [ ]FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~O~
765-1~02
BUILDING DEPT.
INSPECTION
[ ] FO~DATION 1ST [ ] ROUGH PLBG.
[ ~']'FO/UNDATION 2ND [ ] INSULATION
[ c,,]/FRAMING [ ] FINAL
[]FIREPLACE&CHIMNEY
jDATE
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ F~~OUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] INSULATION
[ ]FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
jDATE
INSPECTOR
(IST) il
· ow. oF sou,.o,D ..o. Em'¥ .Eco. D c^..
STREET :''X~ I'~"-mE ~:1. ...... ~ ~ ~"". ~0~ ~
TYPE OF BLD.
OWNER
LAND IMP.
71c0 /
PROP.
CLA~.~SS j ~
TOTAL DATE
MEADOWLAND
HOUSE/LOT
.
TOTAL
TILLABLE
WOODLAND
FRONTAGE ON WATER
FRONTAGE ON ROAD
DEPTH
BULKHEAD
COLOR
Extension '7 ~, / 7 ~ ~ ~ Basement ~AWLsL,e Floors L~ ~j. Kit'
Patio Woodstove BR.
Porch 7~J ~ ~ I'~: ? I~ ~ ,~0 Dormer Fin. B.
Deck Attic
Breezeway Rooms 1st Floor
~_ ~ , ~,' , ~ Driveway Rooms 2nd Floor
Garage 2' ~ -2 ~/ F, '7 ~"
.v, u, .Z.I huL
FORH NO. ]
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTSOLD, N.Y. I ]97
TEL: 76§- 1802
o.e/
Uiaspprr~ed a/c ..................................
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEY .........
CHECK .........................
SEPTIC FORH ...................
TRUSTEES ......................
NOTIFY:
CALL ..................
NAIL TO:.ff.~.:·.~...~..~..
APPLICATION FOR BUILDING PERI4IT
INSTRUCTIONS
Date ............ ' .... ,~0 ....
a. 'Ibis application must be ~ple~ely filled in by t~jpewriter or in i~ ~ ~itt~ to ~ ~ildi~ I~cor ~
3 ~ts of pl~, ~ate plot pl~ to ~le. F~ ~i~ to ~le.
b. Ploc pl~ ~ l~ci~ of lot ~ of ~ildi~ ~ ~s, ~lati~ip to ~joini~ pr~s or ~lic
s~r~s ar ~e~, ~ givi~ a &~ail~ &~ri~i~ of la~ of pm~ ~t ~ ~ ~ ~ diem ~i~ is ~r~ of
~is a~li~i~.
c. ~m ~ ~r~ ~ ~is a~li~i~ my mC ~ ~ ~fore is~ of ~ildi~ Pe~t.
d. U~ ~1 of ~is a~li~i~, ~ ~ildi~ I~c~or ~11 i~ a ~ildi~ ~ to ~he ~li~.
~ ~1 ~ ~pt ~ ~ ~s ~ail~le ~r i~ti~ ~r ~ turk.
e. ~ ~ildi~ ~11 ~ ~i~ or ~ in ~le or in ~rr for ~ ~ ~t~r ~til a ~rtificare of
~ ~11 ~ ~n ~ ~ ~ ~ildi~ ~tor.
~I~ IS ~ ~ ~ ~ ~ildi~ ~nE for ~ is~ of a ~ildi~ ~C ~t to r~
~ldi~ ~ ~i~ of ~ T~ of ~ld, ~ffolk ~, ~ Yo~, ~ o~r a~li~le ~, ~i~s or
~lati~, for ~ ~t~ri~ of ~ildi~, ~iri~ or alrerari~, or for ~al or ~liri~, ~ ~in
~ri~. ~ a~li~r ~s to ~ly ~ ~1 ~li~le 1~, o~i~s, ~ildi~ ~, ~i~ ~, ~
~lati~, ~ tb --~it m~ri~ i~tors m ~s ~ i~ ~ildi~ for ~ i~ti~.
(Si~e of a~li~t, or ~, if a
State whe~ber al~licant is ~r, lessee, agent, architect, e~ir~er, general contractor, electrician, plunber or builder
........................... ........................................................................... . ....
(as on Oae tax roll or latast deed)
If applicant is a corporation, signature of duly authorized officer·
(N~re and title of corporate officer)
Builders License No ..........................
Pl~bers License Ro. .
Electriciaas Licease No ......................
Other Tr~'s License No .....................
!. Location of land on ~hich proposed ~ork ~ill be done ..................................... · ........................
.... ?.10 .....................................................................
House Number Street
County Taxl4ap NO. IOQO, Section ..~.'LL~.
· · , ...... ~j. ...... ' p . : ; ~.141Lot ..7. w .........
2. State existi~ ,~kse aed c~_c:~a3-, of praises and intended use ~d occupancy of proposed construction:
a. l~dsting ,~se a,~: ,~:c.ap~ey .... ~l L]J(I~. ..........................................................
._/
3. t~ature of ~ork (check ~ddd~ applicable): Ne~ Ikiildlng Addition Al£~at~n .........
Repair. ...... .. ... r~ml ...... .. .... . I)e~lltiee .........· .. Other I~ork . . .
(Description)
4. Estimated Cost l fee ..........
(to be p~id on filing this application)
5. If d~elllng, number of d~elllng tmlts ............ I~,nber of d~lling ~mits ee each Fleer ................
If g~rsge, n~ber of cars
6. If b~ieess, o~,~cial or mi~d occup~cy, specify n~re/~ed extent of each typet of use ..... ~.) ...........
7. Dimensions of existing structures, if any: Freer ..... ~.¢. ....... Rear ....~. ........ Depth .................
Deight .............---........ . Nmber of Stories ...~ .................
Dimensions of s~m structure ~ith alterstio~s or ~ddltions: Front ............... Rear ...............
DePth .................... Delght .................... k~ber of Stories ...............
8. Dimensions of entire ee~ coustruction: Front ................ Rear ............
· .. Depth ..............
}hight ......................... I/u~ber of Stories .. I. .............
of ot..
· ............................ ...................
I0. l~ce of F~rchsse .... .~/.%~ ........... N~e of Forr~r O~ner ........................ .
12. Does proposed construction vlols~e nny zoning law, ordin~nee or regulstjon: ../~. ...................
N~ of Architect ...........
tx~e of Contractor ........................... b~ldress . .
........ H~ee No
15. Is dds p~perty within 300 feet of n tlc~! ~tlnnd? * YES .......... NO ~ ......
PLOT D{AGRAI4
[~cste clearly ond distinctly all buildings, ,./~ether existing or proposed, ~nd indicate all s~t-back dimensions
frum property lines. Give street and block number or description sccovding to deed, 8ed sho~ street, nines ~nd indicate
~he~er interior or corner lot.
'"
(N~e of individual si~ning contract)
lie is Lite
(Contractor, agent, corporate officer, etc.)
of said o~aer or o~ers, and is duly authorized to perform or have perfouu~ad tim said work am~l to make and file this
applicatlc~; that all stat~*nts contained in this application are tree to the best o[ his kon~l~ a~gl bellefl and
tl~at the ~rk viii be perfomed in tie manner set forth in the application filed therewith.
,%0~ to before me this
No. O~
Te~m Gx~ires MIy 31,
ENEI~GY CODE CALCULATIONS
[For Non-Zlectric Heat) Desigtt Criteria 6,OOO Degree'.Day-~
O.A. IO"F £.A. 7U°F
DESIGN TtlEI~MEL REMAftKS
S UBS Y STEM AREA "U" I1ATING
[:.xter¢.u~. WaI.L~ (Opaque)
0oors ~ ~ , ¢0 . 8
Ceiling/i~oof (Opague)
Skylights %
sloor /D7Z . O~ 0
Fou dabion walls
Slab Insulation
Notes,,.'
I~uildlng Envelope Systems to meet requirements of 7815.2
IIVAC Equipement to meet requirements of 7815.11
HVAC Systems to meet requirements of 7815. r2
Duct Systems to meet requiremehts of 7~15.13
Ventilations Systems to meet requirements of 7~15.14
insulation of Piping Systems to meet requirements of 7U15.15
Service Water Heating Systems & Equlpme it to meet requirements of 7815.21
' - of 7815.31
~.Lectr].cal & Lighting Systems & Equipment to meet requirements
To tile best of my knowledge,
belief, & professioual
judgement, these plans are in
co,llpliance wltil the code.
SINGLE FAMILY DWELLING ONLY
~.~R 5 1996, A/,,~'~ ~, ~
am familar with the Standards for
App~ val and Construction of Subsurface
Se~Lge Disposal Systems for Single Family
ReSidences and will abide by the conditions
s~ forth therein and on the permit to
construct~
N
pwx,4/
--J
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. -~-7-i'i8 Z Date MARCH 8, 2001
Permission is hereby granted to:
MICHAEL FINGERLE
PO BOX 1615
SOUTHOLD,NY 11971
for :
CONSTRUCTION OF A SUNROOM ADDITION AS APPLIED FOR
at premises located at 770
County Tax Map No. 473889 Section 051
pursuant to application dated MAY
Building Inspector.
CHABLIS PATH SOUTHOLD
Block 0003 Lot No. 003.010
24, 2000 and approved by the
Fee $ 75.00
ORIGINAL
Rev. 2/19/98
II
~ '~"?~'~ !
AP, J:'RpVEDAS NOTED , I'
, -F O bi,OW II~-IN6 P ~*"T~O N B,~ ~,
q IN~ .ATION
4, FII~$ - CON~
B! OMPLETE F
ALI, )NSTRUC1
:THE EQUIREME
STA~ 1~
COl~ g HOT RI
PROVIDE OPENINGS FOR
EMERGENCY £$CAPE AS
REQUIRED BY PAR'lC 714 OF
N.Y 'ATATE BUILDING COD~
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
~'~'/'~/~'" ~:~/~ OF oCCUPANCY'