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HomeMy WebLinkAbout32768-ZFORM N0. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No= Z-33100 Date• 06/17/08 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 1010 OAK DR SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 80 Block 2 Lot 7 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 27, 2007 pursuant to which Building Permit No. 32768-Z dated MARCH 2, 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 ALTERATIONS AND ADDITIONS, INCLUDING COVERED PORCH AND OUTDOOR SHOWER STALL, TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DONALD & MARIA WISEL (OWNER) of the aforesaid building. SDFFOLR CODNT7C DEPARTMSN'P OF HEALTH APPROVAI, N/A ELECTRICAL CERTIPICATS NO. PLi11~IDSRS CERTIFICATION DATED 3047063 03/04/08 Rev. 1/81 06/16/08 DINIZZO PLUMBING ~~II 1+ Form No. 6 y~~~ TOWN OF SOUTHOLD fill 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 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 C_ e_rtifcalesfOecupancy - $50.00 emporpry ~ePtifi~"ate,wf Occupancy -Residential $15.00, Commercial $15.00 Date. l9 l/ ~ ~ JUN - 9 ~ ,, Nei Canstruction: tl Old or Pre-existing Building: / (check one) I t_----- Lo tion c~f)'ropertry^ ~~(Q~ ~.Et~<~ -'~ House No. Street Hamlet Owner or Owners of Property: rk Suffolk County Tax Map No 1000, Section ~Z~j ~ ~j ~' ~ Block ,~~~ Z Lot Q~ Subdivision Filed Map. Lot: Permit No.~~ ~ t(//T_ ~ Date of PerrniL 2 Z Z 0 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: y (check one) Fee Submitted: $ G~~~u8 /J _ J/ Applicant Signature Town Hall, 53095 Main Road P.O.. Box 1179 Southold, New York 11971-0959 ~~o~~gUFFO~,~coG o s~ N x W BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Pax (631) 765-9502 Telephone (631) 765-1802 Date:~y ~ ~~ ~~ Building Permit No. ~a Owner: ~~~ t~_ln ~ ~1 (Please print) Plumber: r ~ Zt ~ rJ~~' ~ t _ _ (Pleas print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. _ _ - umbers Signature) o~ Sworn to before me this /~~ day of ~,~ _ . 20D~' LAURggN M.STANDISF: Notary Publlc, State of New vore No.O1Si6164008 - ~ `??') ~ - ~ ~ Comm ssondEicp7e~s ApriCouary `( -- _- _. ~ (S -- r Notary Public, ,~e,~~ljL -County 16 ,: ~(U. -a-~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT 3a 1G~r Upon the application of JIM SAGE ELEC. INC. PO BOX 38 GREENPORT, NY 11944-0038, Located at 1010 OAK DR. SOUTHOLD, NY 11971 Application Number: 3047063 Section: Block: Lot: upon premises owned by DON WISEL 1010 OAK DR. SOUTHOLD, NY 11971 Certificate Number: Building Permit: 3047063 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: Basement, First Floor, 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 4th Day of Mazch,2008. Name QTY Rate Ra[ine Circuit Tvoe Alarm and Emergency Equipment Sensor 1 0 Cazbon Monoxide Sensor 3 0 Smoke Appliances and Accessories Dish Washer 1 0 1.2 KW Exhaust Fan 2 0 F.H.P. Air Conditioner 1 0 36.000 BTU Wiring and Devices Outlet 13 0 Fixture Fixture 13 0 Incandescent Outlet 35 0 General Purpose Receptacle 14 0 General Purpose Switch 19 0 General Purpose Paddle Fan 4 0 Receptacle 1 0 30a Laundry Disconnect 1 0 60a Air Conditioner Receptacle 7 0 GFCI seal Service 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 JIM SAGE ELEC. INC. PO BOX 38 GREENPORT, NY 11944-0038, DON WISEL 1010 OAK DR. SOUTHOLD, NY 11971 Located at 1010 OAK DR. SOUTHOLD, NY 11971 Application Number: 3047063 Section: Block: Lot: Certificate Number: Building Permit: 3047063 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: Basement, Fvst Floor, 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 4th Day of March, 2008. Name ~ Ra[e Ratine Circuit Tv e 1 Phase 3 W Service Rating 200 Amperes Service Disconnect: 1 200 cb Meters: 1 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. 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. 32768 Z Date MARCH 2, 2007 Permission is hereby granted to: DONALD & MARIA WISEL 18 NOTTINGHAM COURT NORTH NESCONSET,NY 11767 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1010 OAK DR SOUTHOLD County Tax Map No. 473889 Section 080 Block 0002 Lot No. 007 pursuant to application dated FEBRUARY 27, 2007 and approved by the Building Inspector to expire on Fee $ 503.20 zed Signat ORIGINAL Rev. 5/8/02 ~z ~~ ~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING /STRAPPING [ ]FIREPLACE & CNIMNEY [ ]ROUGH PLBG. [ ] IN ULATION [ FINAL [ ]FIRE SAFETY INSPECTION DATE ~ INSPECTOR ~~ [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION 3 ~-~ ~ g ~- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND ,[INSULATION / [ ]FRAMING /STRAPPING [ ~] FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: r DATE 9 ~ ~ - ~ ~ INSPECTOR J~ ~~' ~~ ~ a-~~ ~ ~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST ~ROUGFI PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [~ RAMING TRAPPING [ ]FINAL [ ]FIREPLACE 8~ CHIMNEY [ J FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTR ONL~~~ ] SIRE RE~SIS~TA/NT PENETRATION REMARKS: ~~,,ff// ~ ~~ `"'" °" ~" DATE / ~( °2~ a7 INSPECTOR ~o~"`v :sZ~~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ] F NDATION 2ND [ FRAMING TRAPPING [ ] FIREPLAC CHIMNEY REMARKS: [ ]ROUGH PLBG. [ ]INSULATION [ ]FINAL [ ]FIRE SAFETY INSPECTION DATE ~ INSPECTOR [ ] FlRE RESISTANT CONSTRUCTION [ ] FlRE RESISTANT PENETRATION 3 Z 7 ~ ~~-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 1 NSPECTION [ ]FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING /STRAPPING [ ]FINAL [ ] FIREPLACE A CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS: DATE ~ ~ 1 ~,,. 3z-7~~~ TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 NSPECTION [ FOUNDATION iST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION [ ]FRAMING 1 STRAPPING [ ]FINAL [ ]FIREPLACE & CHIMNEY [ ]FIRE SAFETY INSPECTION [ ]FIRE RESISTANT CONSTRUCTION [ ]FIRE RESISTANT PENETRATION REMARKS:- l DATE ~ ~ © INSPECTO FIELD INSPECTION REPORT DATE COMMENTS w J ~ FOiTNDATION (IST~ a~ ~~ IN ---------------c------------------- O ~S> ~ C a' pr+~ ~ FOiINDATION (2ND) ~ z c ~. D 9" ~`~° ° Rouca FRAMING & PLIJIlIBING ~ a Q ~ b i _ c .~ rr7 INSULATION PER N. Y. STATE ENERGY CODE '' ' V, 0 (~ r FINAL ADDITIONAL COMMENTS ~ I n l" ~ O (.~, z / m L A C Z r ~' ~7 x ~~ x O > y ~o z -- x r--y ~ x --- TtI~WN E1~ SOUTH(H.D BUILDING DEPARTMENT TOWN HALL SOIITIIOLD, ItFI' 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.neUSouthold/ Examined 20 Approved 20~ Disapproved a/c BEI11,D1NG PERMIT APPLICATION CHECKI,IS'F Do you have or need the following, before applying? Board of Health 9 sets ofBuihling Plans Planning Boazd approval PERMTT NO. FEB 2 7 Mail to: ~P~IJG~I ~~~ Sox l b 3 MI~I.L~Y1 V~cIk~K X34-4G1~ I17b~{ Expiration 20 '~- APPLICATION FOR BI)ILDiNG PER1t~IIT Date ~ • ~ 7 , 20~ INSTRUCTIONS a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 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 ofBuilding 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 buikfmg shalt 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 i 8 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 Bm'iding 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. ti.)~,uc y I~w ~~ 17~s1'~ ti coNSu~r, -vG (Signature of applicant or name, ifa corporation) PO. 13ox 1~3Z A~II.I.1~12 ~.Afi.~ 11~6y (Matting address of applicant) State whether applicant is owner, lessee, agent, azchitect, engineer, general contractor, electrician, plumber or builder ~C~IGN~2 Name of owner of premises X01-11~1.b w ~~1~ 1~15~ (As on tfie-teat mil or latest deed} If applicant is a corporation, signature of duly authorized officer (Name and title ofcorporate officer] Builders License No. P7trrttbers L,-icertse No. Electricians License N Other Trade's License I. Location of land on which proposed work will be done: House Number Street So v-t}./OL l~ ~~'~~ ~~ Check Septic Fonn N.Y.S.D.E.( Contact: Courtly Tax Map No. 1000 Section OSp Iilock DoZ Lot DO `~ Subdivision ~C' /JO/-~ :~HO~C'ES Filed Map No. Lot (1 ame) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy SiJl16G~ ~ftti1/L~/ ~s/5/Q~NG~' b. Imended use and occupancy SiN6G~ lG~/ let 5/ /~~NG~ 3. Nature of work (check which applicable): New Building Addition h Alteration Repair Removat Demolition Other Work (Description) 4. Estimated Cost ~~, 00 d 5. If dwelling, number of dwelling units- Fee (To be paid on rfl"mg Otis application) If garage, number of cars Number of dwelling units on each floor 6. If business, eotnmercial or mixed occupancy, specify rtature artd exi~ertt of each type of use. 7. Dimensions of existing structures, if any: Front ,3 3 '- 9 " Reaz 33 `-9 " Depth ,~ ,~9 '- O Height I6'- S ' Number of Stories / Dimensions of same structure with alterations or additions: Front 3 3'- q N Rear 33'-9 " Depth 53'- 3' Height /q'- a ` Number of Stories ~ 8. Dimensions of entire new construction: Front - Reaz 3 3 `- "H Depth a~ ~ `~ " Height / `~"- O " Number of Stories / 9. Size of lot: Front ~Qi-(3 ° Reaz (o0'-OF Depth ~~`~~ ~ `~ 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction vio}ate arty zoning law, ordinance or regulation? YES- NO x 13. Will lot be re-graded? YES NO~WiII excess fill be removed from premises? YES- NO k f 4. Names of Owner of pn-miles rJa!-~ A~~ r7 w i 5l: L Ad~ss oak nom. Phone No. ~/G S- ~~ 9~ Name of Architect G~1eK~! Ti/1JdrLL Address Phone No Li 77- / G 5a Name of Contractor r: g. D . Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wefilarxI? *YES NO X * IF YES, SOUTHOLD TOWN TRUSTEES 8c 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 MAYBE 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 IQ feet or below, must provide topographical data on surveq STATE OF NEW YORK) SS: COUNTY OF ) /t1 AN ~ y BUJ y~~- being duly sworn, deposes and says that (s)he is the applicant (Name of indi idual signing contract) above named, (S)He is the ~ESl6A1~ (Contractor, Agent, Corporate Officer, etc. of said owner or owners, and is dujy 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 t fore me this day of ht. 20 d7 N~ blic ~~ Q Si of Applic p110A$ ~~~.. NrWDIN.O~IiAEW79pi ' aua6fied in A~oNt CommisfianErpref5ept3.. .~JO ENERGY CODE CALCULATIONS CHAPTERS SECTION 501 Detached One and Two Family (For Non-Electric Heat) For: ~ah4ff l~s+~ Oo fJrirf ~So~ •// eao~ri°n ~Ra/,~,~ NO Construction shall comply with 502.1.1 moisture control and 502.1.4 air leakage Building Emrelope 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 Secton 504 Electrical & Lighting Systems & Equipment to meet requirements of Section 505 To the best of my knowledge, belief, & professional judgement, these plans aze in compliance with-the code. Design Criteria 5750 Degree Days Zone 11B Per: ii/ .17 v y e Dated: 2 ~~ 0 7 SUBSYSTEM p,gEA DESIGN "U" CODE "U" DESIGN UA CODE UA Exterior Walls %0 3 D. 12 9/ 0.14 b, o Ceiling Roof ~ 5/ O. p3 0.031 /,3 • J 3 13' Sri Floor Over Unheated Space y s/ O. O 5 0.05 Z Z. SS 21 ~ ~j Heated Slab On Grade 6.5 Unheated Slab On Grade 4.5 Basement Wail 0.1 Crawl Space Wall 0.06 ES: 126 .~ 7 ~3 y.9.~ T R:- ~. ~( ~~~_ ~,~ . e.~_ 1 TOWN OF SOUTHOLD PROPERTY RECORD CARD /J lz OWNER STREET `. VILLAGE DISTRICT SUB. LOT ~L~ B~i~ a I a i cl ~ mar ~ a. - ~ ~ -- ~ __ ~ ~` ~~ ~ ~ -t~. y f.,_C~ / ~~ FC;MER OWNER ; Ir! ]~ ~' -~ N ~ E ACREAGE ~ ,. ~o~.~~ ~ ~~ ie~f ~ '~~ ~~' w S W TYPE OF BUILDING~,~^~. -- RES. a~/d EAS. VL. FARM COMM. IND. CB. MISC. LAND IMP. TOTAL DATE REMARKS '~ ~~ ' ~'~v--d ~' , l~ Sg~e - /~ 6ea ~//L ~ DU ~~C1 ~ u ~ ~9~ [ o•ve N~-we ~tQL~('ad t .f -7l D 5 ~'' v °~`?:'~ ~~ Z 3 Q {~ c~,5"Cr~~ ~y/~G G .Z ~ Cs ~ ,~ ~ ~ ]. . ~~~~ ,is~/ 7 ~ 9 .5.9-~@ 2p' t~R~ ~' . ~ ~u ~E'~i1+~c~+.j ~ a- ~ Gv: /N~~/9 ~G~ / ~ 9 - ~ ~ ~ owl - ~ ZY # -~O l~ SC ~ ~' I.Ctt . - /.~-,lam g~ 1~~~ 99->~f'o?'-z'3S~ ~ 7v~5ta!l ,NEw f`iC',, ;y „~: ~:,.,, NEW NORMAL BELOW ABOVE W Z'St1 '~ J Farm Acre Value Per Acre Value ~ ~! ~ c ~ j ~'~ -O Tillable 1 ~ Tillable 2 -~- ~ ~ ~~ ~~ ~ ~ ~~ ~'t~ -- Tillable 3 -- -_-- Woodland Swampland - Brushlanfi ^ - - -- _ House Plot Total ,.~- ,,,v,.,, ~ ..: .a. , ~• d ~i ~ t~.cL ' u ~ ~, r lip ' / i I 7~~rOd~ t7 S ~ 0. v Ki I i M Bld ~ f 2(~ ~ Foundation ~' Bath . g. ~ _ ~„t,f Extension ~` ,z ~' Basement ~ ~~ Floors / - , , Extension / ~ ~~- ~ _ /~~} ~ ~ _ -- Ext. Walls ~CJ~ ~v/ Interior Finish h~ 'y r' / Extension . Fire Place ~ ~ HeaR ~8i ~~~ I i~ Porch Attic ~, _ . - Porch Rooms 1st Floor Breezeway Patio Rooms 2nd Floor Garage X ~,~/ - ~ l ll' /~ ~„ Driveway O. B. "; I - oZJ`-O$