HomeMy WebLinkAbout33227-Z
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-32647
Date: 10/04/07
THIS CERTIFIES that the building NEW DWELLING
(STREET)
Block 1
GREEN PORT
(HAMLET)
Location of Property: 69125 CR 48
(HOUSE NO.)
County Tax Map No. 473889 Section 35
Lot 4.3
subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this oUice dated
JULY 6, 2007 pursuant to which
Building Permit No. 33227-Z
dated
JULY 6, 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 ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to MICHAEL J VERITY
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPAR'n4ENT OF HEALTH APPROVAL R10-05-0074
09/05/07
ELECTRICAL CERTIFICATE NO.
99680C
10/04/07
PLUMBERB CERTIFICATION DATED
VAN ETTEN PLUMBING & HEAT
Rev. 1/81
Oo~ 04 07 04.43p
6312866683
EI~o~rloal In5p~o~lon
Electrical Inspection Certificate
...... DlIl8
1l1i41li7
ElHlriAIIMp lllan Service, Inc.
37S_A_
I!Qt P8IllIlogue, New York 11772
lea', 2111_
App/k;doo>
~
...... To:
Street:
Village:
Mr. Mk;hael J. Verity
405 Sound Road
Greenport
Zip:
Lot:
Town: Southold
SectIon:
Block:
Contnlctor: udemann EIRtrle Inc. ILl Lie. # 4141-E
WOO -",lnod and "'unci 10 be In ClDlllpIilInoe wiIIlthe _no' E_t Coclo.
r.J Comrnerdal I.J NV~ I I Pool ilII1s11'loor ~ Indoor ~1 811a.j~1l U HotTub
(J __I 0 o.t. G8nge l: I AlIIo I!!l 2nd Floor IllI OUtdoor I I Addlllon [1 Survey
s_ R_"~j;l.. _... fJF/ --- AIC -
31 36 41 9 2
m./r...."., _Amps DrywIAmps Ovlln fMngefAmps ""'10..._
1120a 1 20 1 GaB 1 Gas 112011
FIlm..,. 0/1 G... CItr:uIaIJMa .smon DMdDf 8fIII n_.Mb.nNr
1 X 5
_ Amps _I. UWOH JlIcu;rz/ Tl/llIIIlon CODJ'ubN'"
1 200 1 [R) I 11208 2
Bldg. Permit; 31281
other Equipment
':'200 8rrip MiB p.nciln .2C)"amp speC. Outl&t
~/f/~Ai~\
Hugo S. $ 'nil
PnBldent
R.ouIih-i~:lieIl~"
Inspodar: John Me Mahon III
L
Fiiii'irisPodIcn: , ai03I2ll6'f .
1""'-: John Me Mllhon HI
Th. _ muSl not be _Inanymannor. ........._ be _ by_..--.
10-04-2007 15:21 SOUTHOLD BUILDING DEPT 16317659502
p.1
PAGEl
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
CERTIFICATION
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BUILDING DEPARTMENT
TOWN OF SOUTHOLD
Date: Ofj~~ 7
( /
Buildipg Permit No. -3;'..2.27 Z:
Owner: !1(~/c..e_L .:::T~;ry
(Please print)
Plumber: U-N c-rrt:A/ P/t.Jih.j,~" tf" /kA-/'''''i
(Please print)
lead.
I celiify that the solder used in the water supply system contains less than 2/1 0 of 1%
Sworn to before me this / '1 ~
I~tr~ ~
(Plumbers Signature)
dayoftL.-t!, ,20~
:f-~ ,fj,_,hsf' ~
Notary PUbli~ ;P~unty
~ I
JANETE. STAPtES .
Notary Public~ S='1t New'M
No..'483194~, County
Commi$$1on Expim July 31, 2dcfJ
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 iI1k and submitted to the Building Department with the following:
A. For new building 01' 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 buildiugs and "pre-existing" laud 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
I. 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 Celiificate of Occupancy - $50.00
5. Temporary Celiificate of Occupancy - Residential $15.00, Corrunercial $15.00
~ Old or Pre-existing Building:
Location of Property &9/;;2S- ~ ~ 1PB
House No. ~ Street
Owner or Owners of Property: ~J.?~
Suffolk County Tax Map No I 000, Section .3 S- Block
Date.
cr~3
. ,
-h>o7
New Construction:
(check one)
~,,;.-~
Hamlet
/ _..Lot~__
Subdivision . _____ _ Filed Map. _ _ _ Lot: ~.":. '13 )
PerrnitNo. -3 ?:>;:l.:J.~_ Date of Penn it. 07ftr,l..&rJ Applicant ')'Vt.J t:.<..ft;llZ:j~ _._
Health Depl. Approval --9--'p0-2- I Gnderwriters Approval: /03p_,/___~~
Planning Board Approval' ___.___
Final Certificate: __~,eck one)
Request for:
Temporary Certificate ___
Fee Submittecl $ .,2.s-; cJO
La ~ 3;}l.c'i 7
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~~
Applicant f atu;e '
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIWING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO.
33227 Z
Date JULY
6, 2007
permission is hereby granted to:
MICHAEL J VERITY
160 BROWN ST
GREENPORT,NY 11944
for :
CONSTRUCTION OF A NEW SINGLE FAMILY DWELLING WITH COVERED FRONT
ENTRY AS APPLIED FOR. THIS PERMIT REPLACES BP 31281.
~v PRx>"+ erclr'l
NoT 8.v"-l l- \
at premises located at
69125 CR 48
GREENPORT
County Tax Map No. 473889 Section 035
Block 0001 Lot No. 004
(NO .. Y. ~)
6, 2007 and approved by the 1,.).
pursuant to application dated JULY
Building Inspector to expire on JANUARY
Fee $
806.40
9.
ORIGINAL
Rev. 5/8/02
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.
33227 Z
Date JULY
6, 2007
permission is hereby granted to:
MICHAEL J VERITY
160 BROWN ST
GREENPORT,NY 11944
for :
CONSTRUCTION OF A NEW ONE FAMILY DWELLING AS APPLIED FOR. REPLACES
BP 31281. COVERED FRONT ENTRY WAS NOT BUILT.
at premises located at
69125 CR 48
GREEN PORT
County Tax Map No. 473889 Section 035
Block 0001
Lot No. 004.003
pursuant to application dated JULY
Building Inspector to expire on JANUARY
6, 2007 and approved by the
Fee $
806.40
ORIGINAL
Rev. 5/8/02
Lawrence M. Tuthill
Professional Engineer
P.O. Box 162
Greenport, N.Y. 11944
October 3, 2007
To Whom It May Concern:
Re: Verity
69125 CR 48
Greenport, N.Y. 11944
Permit # 332272
,
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On October 3, 20071 did a final inspection at the above-mentioned residence. I found
that the work was done in accordance with the plans filed with the Southold Town
Building Department and meets the requirements ofthe New York State Building Code.
Lawrence M. Tuthill
Professional Engineer
P.O. Box 162
Greenport, N.Y. 11944
.22?
January 22, 2007
To Whom It May Concern:
Re: Verity
69125 CR 48
Greenport, N.Y. 11944
Permit # 31281z
On January 21, 2007 I inspected the caulking and insulation, for the new single family
dwelling, at the above-mentioned address. I found that the work was done in accordance
with the plans filed with the Southold Town Building Department and meets the
requirements of the New York State Building Code.
Si=-1!~
/6
Lawrence M. Tuthill
Lawrence M. Tuthill
Professional Engineer
P.O. Box 162
Greenport, N.Y. 11944
'-21?
January 22, 2007
To Whom It May Concern:
Re: Verity
69125 CR 48
Greenport, NY 11944
Permit # 31281z
On January 15,20071 inspected the plumbing with pressure test, for the new single
family dwelling, at the above-mentioned address. I found that the work was done in
accordance with the plans filed with the Southold Town Building Department and meets
the requirements of the New York State Building Code.
Sincerely,
1 d;;:dd ; E
Lawrence M. Tuthill
Professional Engineer
P.O. Box 162
Greenport, N.Y. 11944
March 11, 2006
To Whom It May Concern:
r~AR 13
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.
,0
Re: Verity
69125 CR 48
Greenport, N.Y. 11944
Permit # 31281z
. ~ J
,
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On November 11, 2005 I inspected the framing and strapping, for the new single family
dwelling, at the above-mentioned address. I found that the work was done in accordance
with the plans filed with the Southold Town Building Department and meets the
requirements of the New York State Building Code.
Sincerely,
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33 ,)J 7
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] F~ATION 1ST [
[4"OUNDATION 2ND [
[ ] FRAMING I STRAPPING [
[ ] FIREPLACE & CHIMNEY [
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
REMARKS:
~
DATE I" /;.v /Qf
,
INSPECTOR
:33 ") ):/
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TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
~ FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] INSULATION
[ ] FRAMING I STRAPPING [ ] FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS: R~. ~
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,.
<:g-;;-f - oS'
DATE
INSPECTOR ~~
FOUNDATION (lST)
..
f
FIELD INSPECTION REPORT
COMMENTS
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FOUNDATION (2ND)
ROUGH FRAMING &
PLUMBING
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INSULATION PER N. Y.
STATE ENERGY CODE
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FINAL
ADDITIONAL COMMENTS
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FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIWING PERMIT
PERMIT NO.
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
33), cl./
3-Q81 Z
Date JULY
15, 2005
permission is hereby granted to:
MICHAEL J VERITY
160 BROWN ST
GREENPORT,NY 11944
for :
CONSTRUCTION OF A NEW SINGLE FAMILY WITH COVERED FRONT ENTRY AS
APPLIED FOR
at premises located at
69125 CR 48
GREENPORT
County Tax Map No. 473889 Section 035
Block 0001
Lot No. 004
pursuant to application dated JULY 11, 2005 and approved by the
Building Inspector to expire on JANUARY 15, 2007.
Fee $
806.40
~ C21{~
/ Authorized ignature
ORIGINAL
Rev. 5/8/02
TOWN...,OF SOUTHOLD
B~ILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www.northfork.net/Southold/ PERMIT NO.
33 )J. 7
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BUILDING PERMIT APPLICA nON CHECKLIST
Do you have or need the following, befo~pplying?
Board of Health vr
4 sets of Building Plans ~
Planning Board approval ......
Survey ~
Check ~
Septic Form V--
N.Y.S.D.E.C.
Trustees
Contact:
Examined
1/1'
i/~
Approved
Disapproved alc
,20~
,20 c}
Expiration
t/J,'S'
I
,20~
I c.Jd.--
I
Building Inspector
Irl ~J!j n w a f71:
I:ULJlllmJOI
L._"';";"\'~/,~' . ~'~~ ,-'.H,' )
APPLICATION FOR BUILDING PERMIT 14
Date_ ~
INSTRUCTIONS (/
/1
, 20 O~ ~
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.
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. "
(Signature of e, if a corporation)
/?O. S.-,c'r'7'- ~cP //'ivV
(Mailing address of a plic t)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
t9u~
Name of owner of premises
(As on the t x roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No. ..;zo -si..s- .)..-11'~
Plumbers Lic~nse No. ~ ~ ~~,g:~
Electnclans License No. = .Jt::.:. _ _.__.
Other Trade's License No.
I. Loca ion ofland on whi
- S-
House Number
~done:
Street
Hamlet
County Tax Map No. 1000 Section
Subdivision
3S-
Block /
Filed Map No.
Lot
Lot
/f
(Name)
,
,
2. State existing use and occupancy of premp,sp1d inten!!.c;d use jPd occupancy of proposed construction:
a. Existing use and occupancy E t/ ~ ~.-.Q
A -.J ./7 .../ ,f.L.:..
b. Intended use and occupancy ~"# ~- - tI
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
>t
4. Estimated Cost /5"'0 tX>O. 00
,
(Description)
Fee
5. If dwelling, number of dwelling units
If garage, number of cars
(To be paid on filing this application)
Number of dwelling units on each floor
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front
Height Number of Stories
Rear
Depth
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
8. Dimensions of entireJiew construction: Front -3&:Z- N Rear 3" ".J.- N Depth
Height ;r :r8 Number of Stories -:z-
Rear o/7/. t-..J-' Depth 5/0.3.;1. /"
~~ . ,~
3/ 'II k
10. Date of Purchase
;l ~S 1,// ;
/1/0;1-
,
~~
9. Size oflot: Front
Name of Former Owner .J21/- C
(/
11. Zone or use district in which premises are situated /l - V 0
.
12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO ~
13. Will lot be re-graded? YES X NO_Will excess fill be removed from premises? YES_NO k
~.A. 1/4 ~ 6,..-",74. r- ,
14. Names of Owner of premises (7 Address r< )/ll"y<y Phone No. l.~1/'}"'77 -"i<y/ 7
Name of Architect ~&~F -6P Address ~~._, ~., PhoneNo&o/) Y'17- /"S2
Name of Contractor _ _ Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES _NO X
* 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----k="
* 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'
COUNTYO~\fbI~) .
f1 (d ~e--t...... J. t/e.IZ-/7 - being du1y sworn, deposes and says that (s)he is the applicant
(Name of individual signing contrac above named,
tf~
(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.
Claire L. Glew
Notary Public, State of New York
No.01GL4879505
Qualified in Suffolk Coun~b
Commission Expires Dec. 8. _
ENERGY CODE CALCULATIONS
CHAPTER. 5
SECTION 501
Detached One and Two Family
(For Non-Electric Heat)
fv1qll VeYI11
Design Criteria
For:
Per:
5750 Degree Days
Zone lIB
p~,,^) L,no kHz '107
/
9/~/oJ
I
Dated:
SUBSYSTEM AREA DESIGN CODE DESIGN CODE
"U" !t'tJ" UA UA
Exterior Walls ;tJ I/D 0./083 0.14 2/ 0.83 2.7/.60
Ceiling Roof ./01 q b.O'] 0.031 32.3t 33.45
Floor Over Unheated Space j(J79 O.oS 0,05 53.15 53.?!
Heated Slab On Grade 6.5
Unheated Slab On Grade 4.5
Basement Wall 0.1
Crawl Space Wall 0.06
217./s' 35'9,00
NOTES.
Construction shall comply with 502.1.1 moisture control and 502.1 ,4 air leakage
Building Envelope Systems to meet requirements of Section 50 I
The mechanical systems and equipment including:
HV AC Equipment, HV AC Systems, Duct Systems, Ventilation Systems and Insulation of Piping Systems to meet
requirements of Section 503
Service W ster 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.