HomeMy WebLinkAbout33938-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33736
~te: 05/26/09
THIS CERTIFIES that the building SOLA2{ pANELS
Location of Property: 930 JOCKEY CREEK DR
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 70 Block 5
subdivision Filed Map No. __
Lot 13
Lot No.
SOUTEOLD
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 15, 2008 pursuant to which
Building ~ermit No. 33938-Z dated MAY 29, 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 SOLJ~R PANELS INSTALLED ON AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR
· ~ne certificate is issued to GEORGE A SEEGER JR & MARINA
(OWNER)
of the aforesaid building.
SuFfOLK COUIT~YDEPART~ENT OF HEALTHAPPROVAL N/A
ELECTRICAL CERTIFICATH NO. 8965 07/19/08
PLIERS U~u(TIFICATION DA'r~u3 N/A
Authorized Signature
Rev. 1/81
MAY 18 2009
BLDG. DEPT.
TOWN OF SOUTHOLD
]Form No. 6
TOWN OF S~UTHOLD
BUILDlNG DEPARTMENT
TOWN HALL
765-1802
LICATION FOR CERTIFICATE OF OCCUPANCY
This application must be filled in by typewriter or ink and submitted to the. Building Depaament with the following:
A. For new building or new use:
I. Finsl sur~ey 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 fxom Board of Fire Underwriters.
4. Sworn statement from plumber c~dfying 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 installmiona, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requi~ments.
For existing'buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land. uses:
1. Accurate survey of prcpcrty showing all property lincz, street~, building andunusual natural or topographic
features.
2. A properly completed application and cousant 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
Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alteratiens 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. T~mporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date.
New Construction: ~ Old or Pre-existing Building:
House No. Street
O ¢r or ofVrop<y:
Suffolk County Tax Map No 1000, Section 7 0
(check one)
Hamlet
Subdivision
Filed Map.. Lot:
Health Dept. Approval:
Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~
Final Certificate:
(check one)
SUFFOLK+~
BUREAUoi
40 Nottingham Drive, Middle Island, NY 11953
Telephone: 631 495 8136 · Fax: 631 980 6455 · E-Mail: SBEIGS~gmail.com
CERTIFICATE OF ELECTRICAL COMPLIANCE
Applicant:
Rough In Inspection Date:
Application No.:
George See~er Certificate No.: 8965
July 19,2oo8 Final Inspection Date: luly 19,2008
8965 Building Permit No.:
Suffolk County Tax Hap No.:
This C~rtificate of Electrical Compliance is limited to the inspection and compliance of electrical- equipment and/or
work described below, installed by the applicant named above, located at the premise of and not after the final
inspection date above:
Owner: George See~er
Site Location: 920 Jockey Creek Drive, Southold, NY 11971
Owner's Address (if different):
~ Residential ~] Indoor [] Basement [] Service ~ Shed
~. Commercial ~ Outdoor [] First Floor ~ Pool ~ Hottub
~, New L~ Renovation ~ Second Floor ~] Attic [] Garage
[] Addition [] Survey Other. Photo Voltaic System
INVENTORY
Other Equipme~fg 4.114 k~V System, 22-.~harp 187 V~Mt ParmJs.t-S&{A 40001nvefle~, 2~:)isc~lnects
The electrical work and/or equipment described above were inspected and appear to be in compliance
with local, state and national electrical code requirements and this office.
Applicant: George Seeger
Inspected By: Gene Sardi
Signature:
License No.: Homeowner
Date Of Certificate: Jul 22,2008
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. 33938 Z Date MAY 29, 2008
Permission is hereby granted to:
GEORGE A SEEGER
76 SUPERIOR ROAD
BELLEROSE VILLAGE,NY 11001
for :
INSTALLATION OF SOLAR PANELS TO AN EXISTING DWELLING AS APPLIED
FOR
at preJ~ises located at 930 JOCKEY CREEK DR SOUTHOLD
County Tax Map No. 473889 Section 070 Block 0005 Lot No. 013
pursuant to application dated MAY 15, 2008 and approved by the
Building Inspector to expire on NO%EMBER 29, 2009.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] ROUGH PLBG.
[ ] INSULATION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ]FIRE RESISTANT CONSTRUCTION [
~]~FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
DATE .~C-~-/~ ~-o 7
INSPECTOR
CO~2~TS
FI~LI) INSPECTION REPORT
FOU'NI)ATION (1ST)
FO U?,rDATION (2ND)
RO UG~[ F~G &
PLUM~ENG
ENSULATION PER N. Y.
STATE ENERGY COI)E
DATE
FINAL
ADDITIONAL CO1VI>dtiNT$
TOWN OF SOUTHOLD
BUILDING DEPARTI~IENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. northfork.net/Southold/
Examined ~.~)~ 120 O~
Approved 20 0~
Disapproved a/c
Expiration
'i:
PERMIT NO.
14
,BUILDING PERMIT APPLICATION CHECKLIST
~.,I i 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:
Mailto: V,
Buildihg ~nspector
APPLICATION FOR BUILDING PERMIT
Date ,20
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 applicant or name, if a corporation)
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
MEET THE E'(.. '- OF THE
Name of owner of premises o,h,n~q ~ k'.~:~.': ,; '/, ~TflT~
(As on the tax roll
If applicant is a co~oration, si~ature of duly authohzed officer
~ame ~d title of co~b~ ~3~ ~ "' '
'ISm IS UNLA
B~iIders LicenseNo. ~ilTi i~1 IT
Plmb~sLic~seNo. vii ~kg~l ~[]~ ~ ~ml t.
Electricians License No. ,-4- ,I IPAN ¥
Other Trade s License No.
1. Location of land on which proposed work will be done:
, 7'~./- .... -~ r,
FEE:
NOtiFY BL' ? ' ~ ~ .;(~NT AT
House Number Street
County Tax Map No. 1000 Section
Subdivision
(Name)
FOLLC 'T :'L -:
1. F~_,' '.' '
FOR rOdiE .t.
2. FIOUGH - i
3. INSUL,'fi:
Block ~-- Lot
Filed Map No. Lot
BE CO,~.,FL::,
A__,LL CONSTRUCh,.~:' . i '.L :,i,EET THE
,..~~d¢~: ':; L dE)lES OF NEW
YORFH,~i,~IT~. NOT F',ESFC, N::!BLE. FOR
DESIGN OR CONSTRUCTION ERRORS.
2. State existing use and occupancy of premises and intended use and occupancy of proposed gonstruction:
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building_
Repair Removal
Estimated Cost
If dwelling, number of dwelling units
If garage, number of cars
Addition Alteration
Demolition Other Work
Fee
(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
Height Number of Stories
Rear
--Depth
Dimensions of same structure with alterations or additions: Front
Depth. Height Number of Stories
Rear
8. Dimensions of entire new construction: Front
Height Number of Stories
Rear Depth
9. Sizeoflot: Front
Rear _Depth
10. Date of Purchase
Name of Former Owner
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
Name of Architect
Name of Contractor
Address Phone No.
Address Phone No
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 l 0 feet or below, must provide topographical data on survey.
18. Are there any covenants and restrictions with respect to this property? * YES
· IF YES, PROVIDE A COPY.
NO
STATE OF NEW YORK)
SS:
COUNTY OF ~'~5"ft~/4 )
~k-'~ ~'~ ~'~ ~ being duly sworn, deposes and says that (s)he is the applicant
(Name of individual signing contract) above named,
0SSHe 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 to before me this
,~~~g~- day o f~S-/f .-eT'~ 200'~
~-/ Si~re of Applicant~" ~
TOWN OF SOUTHOLD PROPERTY RECORD CARD
/¥ '~ - VILLAGE DIST. SUB. LOT
OWNER STREET .0~,~ ,)
FOR/9~ER OWNER ~'~ " ACR. ~
~1~ ~ ~CfV S . .~ W, WPE OF BUILDING
~ES. ,~,'"0~ ~EAS. VL ~/' FARM COMM. CB. MISC. Mk~. V~lue
~ND IMP. TOTAL DATE REMARKS
-/ / I ~
AGE BUILDING ~ONDITION
N~ NORMAL BELOW ABOVE
FARM Acre Value Per VaGue
Acre
Fillable 1
Fillable 2
7illable 3
~oodland
;wampland FRONTAGE ON WATER /~ ~ /~ -- / ~
Irushland FRONTAGE ON ROAD
4ouse Plot DEPTH
BULKH~D
'oral DOCK
M. Bldg.
Bath
Extension ~ Floors
Interior Finish
Extension ~'c, ~
Extension Heat
Porch
Porch
Breezeway
Garage
COLOR
TRI,M J
;oundation
Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
Driveway
Patio
Total
Rooms ]st Floor
Rooms 2nd Floor
Dinette
LR.
BR.
FiN. B.
i 70'-6"
#
ROOF PLAN
Scale: Y~" = 1'-0"
2x8 RIDGE BEAM
ASPHALT I
SECTION 1
Scale: Y4" = 1'-0"
II
THIS IS TO CERTIFY THAT WE HAVE CHECKED THE ROOF
STRUCTURE FOR WIND, SNOW, UNBALANCED SNOW, LIVE AND
DEAD LOADS BASED ON ASCE 7-98 AND FOR CONFORMANCE
WITH THE NYS BUILDING CODE.
THIS ROOF STRUCTURE IS ADEQUATE TO SUPPORT THE
PROPOSED LOADS
NOTE: BP SX3200 PHOTOVOLTAIC PANELS
(20) SOLAR PANELS - Rated Power: 200W each
Length = 66.14"
Width = 32.95"
Thickness = 1.97"
Weight = 33.95#
Project:
SEEGER RESIDENCE
930JOCKEY CREEK
Joseph
ROOF LAYOUT FOR
SOLAR PANEL INSTALLATION
Consulting Engineer
12 WYLIE WAY, STONYBROOK, NY 11790 - (631) 689-7270
COPYRIGHT
JOSEPH SCHMITT
JO C/CF y
S ??o 46' ~o" £
C~££N O/?lt,,£
zoo. oo '
SUR VE'Y OF
PR OPER T Y
A T SOUTHO£D
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N.Y.
1000 - ZO- 05- 13
Scale 1" ,= 30'
Jan. 24, 1989
CERTIFIED TO:
CENTERBANK MORTGAGE
SOUND ABSTRACT
GEORG~ A. SEEGER Jr.
MARINA SEEGER
CORPORA TION
~repared in accordance w/Ih /he minimum ~p~C_~NIQ~/I' ~,~, P."~. -- -- '
~londards lor Nile surveys as eslobJished ' ' -
fo~ such us~ ~y .The New Yor~ Slate L~nd j ·
89- 107
70'-6"
ROOF PLAN
Scale:~" = 1'-0'
SECTION '1
Scale: ~4" = 1'-0"
THIS IS TO CERTIFY THAT WE HAVE CHECKED THE ROOF
STRUCTURE FOR WIND, SNOW, UNBALANCED SNOW, LIVE AND NOTE: BP SX3200 PHOTOVOLTAIC PANELS
DEAD LOADS BASED ON ASCE 7-98 AND FOR CONFORMANCE (20) SO~R PANELS - Rated Power: 200W each
iWlTH THE NYS BUILDING CODE. Length = 66.14"
, Width = 32.95"
!THIS ROOF STRUCTURE IS ADEQUATE TO SUPPORT THE Thickness = 1.91"
PROPOSED LOADS iweight = 33.95#
~ I ioted SOUTHOLD. NY 11971 SOLAR PANEL INSTALLATION :~ _~
Joseph Schmitt Consulting Engineer
~__~~ ~f~'.a~ 12 WYLIE WAY, STONYBROOK, NY 11790-(631) 689-7270
?
~ I0001 ~