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HomeMy WebLinkAbout33868-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33272 Date: 09/16/08 THIS CERTIFIES that the building ALTERATION Location of Property: 3190 HAYWATERS RD (HOUSE NO.) County Tax Map No. 473889 Section 111 Subdivision CUTCHOGUE (STREET) (HAMLET) Block 11 Lot 13 Filed Map NO. __ Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated APRIL 16, 2008 pursuant to which Building Permit No. 33868-Z dated MAY 5, 2008 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 ALTER BASEMENT IN AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JSC RESOURCES INC (OWNER) of the aforesaid building. HIIFFOLKCOL~Fl~fDEPARTMENTOFHEALTHAPPR01rAL N/A EL~-i~ICAL CERTIFICATE NO. 8366 08/30/08 FLD]~BERS CERTIFICATION DATED 07/07/08 GEORGE FREDERICKS ~u~Au orzzed~ 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 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 gpre-exisfing" 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 a consent to inspeat signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Old or Pre-existing Building: Sfreet New Construction: v~ Location of Property: TI q[~ House No. Owner or Owners of Properts': (check one) ~J Hamlet Suffolk County Tax Map No 1000, Section [000 -II I Block Subdivision ]kJ0{g{] 0 P~l{/[+C.ll)~O~'~/O~h'Cr Filed Map. ~lXq~ Pe~itNo. ~L Date;fPe~it~ ~l~Oe Applic~t: Health Dept. A;pr;val: ~/~ Undemfiters Approval: Pla~ing Bo~d Approval: Request for: Temporary Certificate Fee Submitted: $ ~' Final Certificate: ~3heck one) Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, Ne,a' York * 11931 Tel: 631-591-3097 Fax: 631-591-3098 Application: 8366 Date: 8/30/08 lssned to: Zizzi Contracting Corp Address: 3190 Ha)3sater Rtl Introduced B)rl STS Electric Village: Cutchogue License #: 41857-M Residential [] Commercial [] The following was examined and approved up to the above ;rate and found to be in compliance with the NEC: Attic 1st Floor 2nd Floor 3''d Floor Garage Conversion Basement [] Hot Tub Addition [] Detached Garage Pool 13 23 3~; 3 2 __ This certificate must not be altered in an)' manner P,O. Box 1179 York ! 197] .0~9 I~UILDJNO DE~ARTMI~N~ TOW~ OF SOUTHOLD CERTIFICATION (please print) Plumber: I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this / 0 day of~ , 20(~)~ Notary Public, ~~ County / (Pluq~rs S'ig~ature) LYNDA M BOHN NOTARY PUBLIC, State of New York NO. 01B06020932, Suffolk C,o, unty Term Expires March 8, 20 t,\ FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUI~DING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 33868 Z Date MAY 5, 2008 Permission is hereby granted to: JSC RESOURCES INC 3190 HAYWATERS RD. CUTCHOGUE,NY 11935 for : ALTERATION TO AN EXISTING BASEMENT AS APPLIED FOR at premises located at 3190 HAYWATERS RD CUTCHOGUE County Tax ~ap No. 473889 Section 111 Block 0011 Lot No. 013 pursuant to application dated APRIL 16, 2008 and approved by the Building Inspector to expire on NOVEMBER 5, 2009. Fee $ 542.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING ['~,~xAx~a~..~.,..~, ~,~--~ ~ ~ ~ .7_ ~ SOUTHOLD, ~Y 1197~o o t en~et~t k TEL: (631) 76~1~" ~s~,2e' ~o, ~ FAX: (631) 76~ ' ~' - -'- '~' ..... ~. northfork.neUSouthold/ PE~IT NO. Examined O'~/)~ , 200~ Approved ~/~,20 O~y Disapproved a/c 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: '~w~' ~' Phone: Expiration //~ ,~20 ~)Y /~.~.~._.~ Building Inspector APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS 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. 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 applicator name, ifl(/~rporafion) (Mailing ad, ess of applicant) p/'~ssee, agent, architect, engineer, general contractor, electrician, plumber or builder State whether applicant is Name of owner of premises .d ~-4 ~/~, '~ -t , /f' ~ (As on the tax roll or latest deed) If appl/~.an, t)~ a cfljp6~tio~, signature of duly authorized officer ////~fame and titl~ of corporat'e officer) //q3uilders License No. f(/~/¢c/. Plumbers License No. ~////t ~' Electricians License No. ~/(/?_ f ~: Other Trade's License No. -~- 1. Location of land on which proposed work will be done: Hous~ Number '~ Street Ham~let County Tax Map No. 1000., ~ection /// Block // Subdivision /~/~ ~ ¢~0 .~'~'~.~e.~ ~_-~_- · '(Name) Lot /D Lot 2. State existing use and occupancy of pr .emises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'g't~t.¢_ b. Intended use and occupancy Nature of work (check which applicable): New Building Repair ~ Removal ~ Demolition 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Addition ,-- Alteration ~-- Other Work~;, -~d/flyc~ff-- ~ Fee ~4t'2Y ~'~/'fl/~,~flJ~/'¢/('Description) (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 ~ ~ ~' Rear Height 7 o Number of Stories Depth Dimensions of same structure with alterations or additions: Front Depth .ff~ Height 2%¢-..~_ Numbe? of Stories 8. Dimensions of entire new construction: Front ~ Rear Height -- Number of Stories .--- Rear -cfi'a--.- Depth 9. Size of lot: Front g '2 Zof Rear ]Zo Depth 10. Date of Purchase ~ 'g! 'Z~,,: ? Name of Former Owner/~,,~d~,~ 11. Zone or use district in which premises are situated //'~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES__ NO °/Will excess fill be removed from premises? YES NO 14. Names of Owner of premises ~5'~ Name of Architect Name o f Contractor. ' 7///v.~. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE J1EQUIRED. '* b. Is this property within 300 feet ora tidal wetland? * YES NO · IF YES, D.E.C. PERMITS MAY BE REQUIRED. Address ~o~te-,.~O'y///5~: Phone Address~ ~f Phone Nod Address~ '~/-'5-r Phone No. NO 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) COUNTY OF ff't4~/''''j)°: '~/'"2'~4 ~ ~'< ~ ~ 't, --t, being duly swom, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (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. /Signature of Apphcant TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ] FOUNDATION 2ND [ ]INSULATION [ ] FRAMING / STRAPPING ~FINAL ,/~ [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION ,~ FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. ~)~/I NSULATION [ ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 I NSPECT ION [ ] FOUNDATION 1ST [ ,~ROUGH PLBG. ] INSULATION ] FINAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION [ ] FOUNDATION 2ND ] FRAMING / STRAPPING ] FIREPLACE & CHIMNEY ] FIRE RESISTANT CONSTRUCTION REMARKS: ~ FIZLD/NS}'ECTION REPORT I DATE I C OM1VIiENTS FOUN1)ATION (1ST) / ROUGH PL[FMiBING ENERGY CODE STATE FI~NAL ~DITION~ > Checked By/Dnte ~'-'~check Comntiance Certificate New York State Ene/d~y Conservation Construction Code REScheck So~ Vor~ic~ '~ 6 Release a Data 6lename: C:\Prog,mn Files\CheckkREScheck\ClientsXHaywater. tck PROJECT TITLE: Finished Basement For COUNTY: Sufolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or2 Finally HEATING TYPE: Non-~i~mc WINDOW / WALL RATIO: 0.36 DATE: 05/05/08 DATE OF PLANS: PROIECT DESCRIPTION: Zizzi Construction Inc. Haywat~ Road, Nassau Poim Town Ofgouthold, New York DESIGNER/CONTRACTOR: Midmci W. Bchdngcr Archit~c~ 1375 North Sea Road Southampton, New York 11968 COMPLIANCE: Passes Maximum UA = 177 Your Home UA = 115 35.0% Better Than Code (UA) Finished Basement: Wood Frame Wall 1~/8ht: 9.0' [naulatiou depth: 9.0' Anden~en CWlS: Wood Fram~Doublc Pane with Low-E 3070 EnUy: Solid · ~ Glazing Area or C~flty Cont. or Door perimeter ]~-V~uc R-Value U-Factor UA 1878 II.0 0.0 12 0.280 3 21 0.340 7 COMPLIANCE STATEMENT: Thc propor, ed b~ing represented in this documcnt is consi~.ent with the building piaa~, speeiicaaons, and other ~culaaons sab~i*~wi~h this pamit ~i~ to ~ ~N~ Y~ S~e En~ C~ C~on C~ ~ts. Wh~ a R~st~ 05-0S-2008 09:48 SOUTHOLD BUILDING DEPT 163176S9S0~ PRGE2 Ha~ 05 08 08:23a ~ehr~ncer p.3 Professional has stamped and signed this page, they a~ attesting that aa the bern ofhis/he~ knowledge, belief and professional judgment, such pleas or speaiications ~e in oompli~aen with this Cc<lc, 05-05-~00EI OC):~.EI SDUTHOLD I~UILDING DEPT 16~1765950~' PFIGiE~ New York State Insurance Fund Workers' Compensation & Disability Benefits Specialists Since 1914 199 CHURCH STREET, NEW YORK, N.Y. 10007-1100 Phone: (888) 997-3863 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE LOVELL SAFETY MGMT CO., LLC 110 WILLIAM STREET 12TH FLR NEW YORK NY 10038 POLICYHOLDER JAMES V ZIZZI CONTRACTING CORP PO BOX 1551 QUOGUE NY 119591551 CERTIFICATE HOLDER TOWN OF SOUTHOLD P.O. BOX 1179 SOUTHOLD NY 11971 POLICY NUMBER CERTIFICATE NUMBER PERIOD COVERED BY THIS CERTIFICATE DATE G 1044 660-7 147108 04/01/2008 TO 04/01/2009 4/9/2008 THIS IS TO CERTIFY THAT THE POLICYHOLDER NAMED ABOVE IS INSURED WITH THE NEW YORK STATE INSURANCE FUND UNDER POLICY NO. 1044 660-7 UNTIL 04/01/2009, COVERING THE ENTIRE OBLIGATION OF THIS POLICYHOLDER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, EXCEPT AS INDICATED BELOW. IF SAID POLICY IS CANCELLED, OR CHANGED PRIOR TO 04/01/2009 IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 30 DAYS WRITTEN NOTICE OF SUCH CANCELLATION WiLL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. THE NEW YORK STATE INSURANCE FUND DOES NOT ASSUME ANY LIABILITY IN THE EVENT OF FAILURE TO GIVE SUCH NOTICE. THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS NOR INSURANCE COVERAGE UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY. U-26.3 NEW YORK STATE INSURANCE FUND DIRECTOR,INSURANCE FUND UNDERWRITING This certificate can be validated on our web site at https://www.nysif.com/cert/cerlval.asp or by calHng (888) 875-5790 VALIDATION NUMBER: 366538988 OWNER STREET FORMER OWNER N TYPE OF BUILDING ES..~//~/~k3 SEAS. VL. ¢ [FARM COMM. CB. MISC. AGE BUILDING CONDITION q~b' NORMAL BELOW ABOVE :ARM Acre Value Per Value Acre ~ 0'~' Ibble 3 ,' ~¢ ~¢_ ¢, oodtend ,~mpbnd FRONTAGE ON WATER ushbnd FRONTAGE ON ROAD ~use Plot DEPTH BULKH~D t~l DOCK NASSAU SURVEY OF LOTS 411 & 412 MAP OF POINT CLUB ?RO?ERTIES, SECTION D FILE No. 60B F~LED MAY 7, 1926 SITUATED AT NASSAU POINT TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK 1000-111-11-1:5 SCALE 1"=20' SEPTEMBER 14, 2004 SEPTEMBER 20, 2004 SURVEY JUNE 8, 2005 REVISED PROP. SEPTIC SYSTEM LOCATION DECEMBER 27, 2005 FINAL SURVEY JANUARY 29, 2008 UPDATE SURVEY AREA = 59,045 sq. fl, 0.896 ac. 54.8 INC. LOT (~ 156.00' 2 O' S'T~p$ /0' x 2~ LoT ~ LOT ~ NOTES; 1. ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM EXISTING ELEVATIONS ARE SHOWN THUS: 25.0 CERTIFIED TO: STEVEN HILL LIHDA HILL UNITED GENERAL TITLE LIBERTY TITLE AGENCY INSURANCE COMPANY N,Y,S. Uc, No. 50467 Nathan Taft Corwin III Land Surveyor PHONE (651)727-2090 Fax (651)727-1727 TNE EXISTENCE OF RIGHTS OF WAY AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT GUARANTEED. 40,9 $ 76'53 $ BB.07' STORAGE ART AREA EXERCISE AREA SCAPEWEL WINDOW WELL UNEXCAVATED 1 EJECTION PUMP BASE CABINET DRYER 1'-6~ 10'-2"- 14' LAUNDRY ROOM BATH SITTING AREA EXISTING 9'-0" J~ BASEMENT CLOSET 4,* EXISTING EXISTING EXI~qNG STEEL COLUMN GOLUMN COLUMN HALF WALL 4't GAME ROOM WINE STORAGE i ICL)_ ..... PROPOSED BASEMENT FINISHED AREA= 1,705 SQ.FT. PLAN SCALE: 1/4"=1'-0" MECHANICAL ROOM 0'--8 DOOR EXISTING 2-CAR GARAGE ,~ITER$CERTJ~ICA~E ,PLUMBING ALL PLUMBING WASTE & WA't'~[~'~JN ES NEED T~STING BEFORE COVERING PI. UMBER CERTIFIC.4 T/ON ON LEAD CONTENT BEFORE CERTIFICATE O~z OCCUPANCY BOLDER UBED IN WA TER SUPPL Y'SYSTEM CANNOT EXCEED 2/I0 OF 1% LEAD. OCCUPAItIC. v OR ~ USE IS I..rr,/l ,:'~V/"FUL I',,~,1,, · WITH()[r ..... · ~ ~,iF/CATE OFOC,,.,~., , -v A~PROV~.D AS NOTED NOTIFY BUIt-DI~ D~ ~65-1802 ~N,,~ TO 4PM FOR THE ~OLLOWIN~. IN?ECTIONS: ' FOR POU~ED CONCRETE ~. INSULATION 4. FINAL - COHST~UC~iON MUST ;ALL CON~TION SHALL MEET THE ~EEOU[REMENTS OFTHE CODES OF NEW VCBN S~ATE. ~NOT RESPONSIBLE FOR IDESIGN~OR CONSTRUCTION EBBORS~ v ;I **REVISION DATE:, 05/01/08 I FINISHED BASEMENT FOR i~~~ ZIZZI CONSTRUCTION INC( : HAYWATERS ROAD, NASSAU POINT ~ I TOWN OF SOUTHOLD, NEW YORK ' ' :i'~,~~. ~..'_.~ SOUTHAMPTON, N.Y. 631-g87-9474 I i '-, .4 04/1 I i BRICK PATIO KITCHEN KEEPING ROOM [0 DINING ROOM DEN BATH COVERED PATIO FAMILY ROOM MASTER BEDROOM FOYER EXISTING FIRST FI,OOR (NEW ELEVATOR) PIAN SCALE: 1/4"= 1'-0"