HomeMy WebLinkAbout31601-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-32660 Date: 10/05/07
THIS CERTIFIES that the building ALTERATIONS
Location of Property: 305
(HOUSE NO.)
County Tax Map No. 473889 Section 88
LONGVIEW LA
(STREET)
Block. 5
SOUTHOLD
(HAMLET)
Lot 4
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
NOVEMBER 15, 2005 pursuant to which
Building Permit No. 31601-Z
dated
NOVEMBER 15, 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 ALTERATIONS TO BASEMENT IN AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR.
The certificate is issued to PATRICK J & PATRICIA DIGNAN
(OWNER)
of the aforesaid building.
SUFFOLK COUllTY DEPARTMENT OF HEALTH APPROVAL
N/A
ELECTRICAL CERTIFICATE NO.
105928C
10/23/06
03/29/07 ROBERT T. DANOWSKI
PLUMBERS CERTIFICATION DATED
~<~
Afhor'zed Signature
Rev. 1/81
~/:a ~~. LA:;~__I]\Vi 'r, ;...
v, r- 4(~- i"~ l,y 15 I"
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I bLur;. DEPT.
TOWN OF S0UTHOLD
Form No.6
TOWN OF SOUTH OLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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PPLlCATION 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:
I. 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 I % 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:
I. 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. OCr 6 2J)07
,
New Construction:
Old or Pre-existing Building:
LOll:;.!",,,,,' L -'1I"'f'
Street
f/fT..c'C'4
(check one)
3o.s
House No.
Owner or Owners of Property: .d-t, c. Ii
0-
./-./.. C iJ A-.,.!
C' -"
'..>('JiUOi :1>
Hamlet
Location of Property:
Health Dept. Approval:
Planning Board Approval:
~ ~ Block 0 S Lot
Filed Map. L'1 0 \ Lot:
i I I, '5 /05 Applicant: '~1t-1"'" '" ~"'~14
Underwriters Approval:
OL{
'-jef
DL-c;:J A-J_.
Suffolk County Tal' Map No 1000, Section
Subdivision "-;-.e L 1 (;1 A",,~.e ~
Permit No. .3 I (P 0 I 1. Date of Permit.
Request for:
Temporary Certificate
Final Certificate:
/
(check one)
Fee Submitted: $
6...vc-'1 ,.?Cl~
Co ~ 3Rt-GO
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.
31601 Z
Date NOVEMBER 15, 2005
permission is hereby granted to:
PATRICK J DIGNAN
11 BROMPTON RD
GARDEN CITY,NY 11530
for :
ALTERATIONS TO AN EXITSING BASEMENT AS APPLIED FOR.
at premises located at
305 LONGVIEW LA
SOUTHOLD
County Tax Map No. 473889 Section 088
Block 0005
Lot No. 004
pursuant to application dated NOVEMBER 15, 2005 and approved by the
Building Inspector to expire on MAY 15, 2007.
Fee $
315.00
ORIGINAL
Rev. 5/8/02
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No. :3 / (.. t9 / Z::
Owner:
(Please print)
Plumber:-&.L,....I7- T Oc..JLOW,<;k....
(Please print)
Fax (631) 765-9502
Telephone (631) 765-1802
J/.zr/r;,1
lead.
I certify that the solder used in the water supply system contains less than 2/10 of 1 %
~'TD-~.
. (Plumbers Signature)
Sworn to before me this l ~
day of {V\OJ ck- , 20 fl
-9~~
Notary Public, ~county
. PAMEL' WRUC!< .......
NotarY ~~b~~J~~5~~~r .
Oualifted In suffJOlk c~~o.f2 7
Commission Expires une .
3{~{)(-t:-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1ST
[ ] FOUNDATION 2ND
[ ] FRAMING I STRAPPING
[ ] FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUC'nON
[ ] ROUGH PLBG.
[ ] I,.,LATION
[ ;1'FINAL
[ ] FIRE SAFETY INSPECTION
[ ] FIRE RESISTANT PENETRAnON
REMARKS:
DATE 1~~/tJ7
l
INSPECTOR
3> I {po (-z:--
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INJ9LATION
[ ] FRAMING I STRAPPING [ J.f'FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
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REMARKS:
~J'r
DATE I
INSPECTOR
31 (peJIL
TOWN OF SOUTHOlD BUilDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGHPlBG.
.....----
[ ] FOUNDATION 2ND [ t.}fNSUlATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: -:f.,N' f.-<ki';:) c! -
DATE t{ .
INSPECTOR
?i
---- -----
~-
3IbO/7-
TOWN OF SOUTH OLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND M INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
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DATE
INSPECTOR ffi. ~
31&OIt;-
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTI
N
[ ] FOUNDATION 1 ST [ OUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS,~Jl1:... fr-- ~~
s'7fC-fn ~..-f ~ .
I NSPECTO
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3/Go IT
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FQUNDATION 1 ST [] ROUGH PLBG.
/
[ OUNDATION 2ND [] INSULATION
[ MING I RAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
~~~
..,
DATE
INSPECTOR
,
FIELD INSPECTION REPORT DATE COMMENTS LV
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FOUNDATION (1ST) ~~
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STATE ENERGY CODE
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ADDITIONAL COMMENTS ,y t1
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BUILDING PERMIT APPLICATION CHECKLIST
Do you have or need the following, before applying?
Board of Health
4 sets of Building Plans
Planning Board approval
Survey
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact:
Mail to:
8/ t.--e.EA) SfjNTvlZ4
Phone: '164 2/?~
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HiLL. .
SOUTHOiD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/SouthoId!
PERMITNO 8/6d/.~
H
,-
1
Approved
Disapproved ale
Examined
Expiration
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, \...-- ?Y'-'c"';? INSTRUCTIONS
\. ~~n 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 oflot 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.
APPLICA nON IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of South old, 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.
APPLICATION FOR BUILDING PERMIT
Date
1tlJV-VJf~ /" tf ,20~
II
;........./
e, if a corporation)
'1'
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises
Cj IfID 'PATe/elL 1:)1 C[t-J t:J IV
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
{)WNE12
ffiT el (J4~
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
I
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
~OG WNuVr;;/J,.,f U'l/0b6
House Number Street
Sou/l4OU-:J
Hamlet
County Tax Map No. 1000 Section 6 g,
Subdivision TeR R '( /;J/1nst2S
(Name)
Block 05
Filed Map No. ;:;;qtJ /
Lot
Lot
64
40
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy R 6? I DE? tv IS . . t
I'
b. Intended use and occupancy
5. If dwelling, number of dwelling units
If garage, number of cars
#WS8 [,U1l-L ++A 1/8
Addition Alteration ,/
Other Work 1=1 /oJ 1 Sf! P:/.(r;brl E:/...JT
FCOJJY!!/1~ Lt~~ $f.ft?2~mtip%L04~/(,
ee .
(To be paid on filing this application)
Number of dwelling units on each floor e510 '- Y r
3. Nature of work (check which applicable): New Building
Repair Removal Demolition
4. Estimated Cost
da ~V;. 000. 00
I
6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front f:) ~
Height 2/,' -t'i"" Number of Stories
Dimensions of same structure with alterations,or additions: Front 1;) '7
Depth 01. F) Height flO-t-.... Number of Stories
"'"S:f) IvIfO
Rear
Rear
50
Depth 01,5
Rear J:) /
8. Dimensions of entire new construction: Front
Height Number of Stories
Depth
9. Size oflot: Front I IJO .
Rear
I Of!)
Depth f?5, 00
ro. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated
e.t?4 I G>\=NT
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_ NO X
13. Will lot be re-graded? YES_NO XWill excess fill be removed from premises? YES_NO-X-
14. Names of Owner of premises""PA T"PI 6 N ~N Addrest I (~~ f{,~;>J2tPhone No. F5 I 4> 'ZA€>' Li?o '3
Name of Architect J~;I u;;;;Gcv ~f:tJ:Jtr0lA Address 10:; ~b Phone No 1")9,) <t 1...794
Name of Contractor 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 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 OF )
?.ATRIC.JA DU t-4A 1'-/ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
OH/'J.GrZ-
(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 application filed therewith.
Sworn jo before me this /iJtt,
4 day of /ttJu.e4I! 20 C1 S
WfUJ( /JItr&2C0
Notary Public ..
EIUEN S SAf'\\TORA
1IO.....y PUBLIC; St.'e of I'&.w York
'1- No. 30-4916018
Q~lIf'" I. "7 J'?'J?J{/
(oaual"on bpif85
/l .,.c $
>>~/t:;#;" / /5'/~
I Signature of Ap ant
.
BUILDING CONSTRUCTION NOTES
\
GENERAL
1. All construction work shall comply with the New York State Building Construction Code
and with the requirements of any governing departments, as well as the requirements of
authorities having jurisdiction.
2. Contractor shall arrange for all required municipal inspections of the work.
3. All work shall comply with the New York State Energy Code
1. It shall be the contractor's responsibility to submit the size design and type of
mechanical systems that will be used in sufficient detail as required by the
Building Department.
2. Insulate all ducts and piping as required by code
3. All windows, doors sills openings etc. shall be caulked and weatherstripped.
4. Provide one smoke detector on each floor including the basement. Provide smoke
detectors in all sleeping areas. All detectors to be directly wired to the electrical system of
the home.
5. Engineer is not responsible for the supervision of construction. General Contractor must
verify all dimensions and conditions before construction of fabrication. Engineer not
responsible for any changes without written prior approval.
6. Do not scale drawings
7. The engineer shall be responsible for the content of these drawings only. He shall not be
held responsible for any materials, workmanship, means or methods of construction. The
Engineer shall not be held responsible for the design or installation of materials and
equipment: Electrical, plumbing, heating, ventilation, air conditioning or any system not
specifically contained in the drawings.
8. Electric construction is to conform to the National Electric Code, New York State
Building Code, and LIPA
9. Plumbing is to conform to the County and local health department requirements and NYS
Code.
Page 1 of2
Building Constriction Notes
.
.
CARPENTRY
10. Framing: Douglas Fir #2 or better
11. Sill Plates to be 2x6 Treated 40 year CCA with sill sealer
12. Provide double Joists and trimmers at all stair and floor openings, under all posts and
partitions running parallel to joists. Refer to plan.
13. Provide bridging for all floor joists
14. Provide solid blocking under all bearing points
15. Openings to have to (2) 2"xlO" headers unless otherwise noted
16. Structural metal connectors as requires for all flush structural load carrying conditions
CONCRETE I FOUNDATION
17. Strength 3,000 PSI at 28 day ASTM C-94 ready mix concrete
18. All footings, foundations etc. shall rest on undisturbed soil.
22. Soil bearing capacity shall be 3000 p.s.f. Contractor shall conduct soil test to verifY
bearing capacity prior to construction and report any discrepancy to Engineer. Any
changes in soil condition noted during excavation shall be reported to the Engineer.
23. Footings shall be 36" below finished grade minimum.
Reinforcing steel shall be 40 ksi
Page 2 of2
Building Constriction Notes
1 am familiar with the STANDARDS, FOR APPROVAL
AND CONSTRUCTION OF SUBSURFACE SEWAGE
DISPOSAL SYSTEMS FOR SINGLE FAMIL Y RESIOENCE$
OfId' "'" abIde by the conditIons sel forth thereIn and on Ihe
P4TmII 10 construct.
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Prepared in accordance wilh Ihe minimum
standards for Nile surveys os eslablished
by Ihe L.I.A.L.S. and approved and adopled
for such use by The New York Slale Land
Tille Associalion.
ELEVA noNS ARE REFERENCED
TO AN ASSUMED DA TUM.
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AREA = 17,500 sq. ft.
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SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES
FOR APPROVAL OF CONSTRUCTION ONLY
DATE
RI0-94-0057
liS. REF. NO.
APPROVED
SURVEY OF
LOT 49
"TERRY WA TERS"
FLED DEe. 29,7958 AS MAP NO. 2901
AT BA YVIEW
TOWN OF SOUTHOLD
SUFFOLK COUNTY, NY
7000- 88- 05 - 04
Scale: 1" = 30'
May 10, 1994
Sept. 28,7994 (foundation)
Dec. 74, 1994 (fjnal)
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'ECON/c.','$. . .,' ORS, P.C.
f516J 765 ""'""5020
P. O. BOX 909
MAIN ROAD
SOU THOL D, N. Y. 1/971
49618
94 - 171