HomeMy WebLinkAbout33967-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP/LRTMENT
Office of the Building Inspector
Town Hall
Southold,
CERTIFICATE OF OCCUPANCY
NO: Z-33917
Date: 08/24/09
THIS C~TIFIES that the building ALTERATIONS
Location of Property: 68025 CR 48
(HOUSE NO.)
County Tax Map No. 473889 Section 33
subdivision FiledMap No. __
GREENPORT
(STREET) (HAMLET)
Block 3 Lot 36
Lot NO.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated MAY 28, 2008 pursuant to which
Building Permit No. 33967-Z dated JUNE 10, 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 ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to BARBARA A CONDON
( OWNER )
of the aforesaid building.
SUFP~DLKCO~3~I"fD~PART~E~FTOF ~]~%LTHAPPRO~I~L N/A
HL~t-£~ICAL c~KTIFICATH NO. 4013050 02/04/09
PL~S CE~TIFIC3~TION DA'rF~O 08/17/09
GEORGE SCHOENWAELDER, JR
~/'h~Signature
Rev. 1/81
Form No. 6
TOWN OF $OUTHOLD
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 pmper'ff with accurate location of all buildings, property lines, strcets, 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 Firc 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 requircments.
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 Decupancy is
denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
C. Fees 1. Cettificate 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 ofOccupency - $.25
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Oceupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Old or Pre-existing Building:
House No. Street
Owner or Owners of Property: ~r~//d__/~ ~q rt ,n ~
Suffolk County Tax Map No 1000, Section F) ~ ~
Subdivision
Permit No. / Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ o~ ~' ~
Date.
'-~ (check one)
Hamlet
Block ~) 0 ,.~ Lot ~ ~
Filed Map. ~ Lot:
Unde~te~ Approval: ~
Final Certificate: t'//~ (check one)
Applicant Signature
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
BARBARA CONDON
CUSTOM LIGHTING OF SUFFOLK INC
PO BOX 1698 68025 CR. 48
MATTITUCK, NY 11952, GREENPORT, NY 11952
Located at 68025 CR. 48 GREENPORT, NY 11952
Application Number: 40.13060 Certificate Number: 40.13050
Section: Block: Lot: Building Permit: * BDC: ns11
Residential
Described as a occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
First Floor, Second Floor,
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
4th February, 2009
authority having jurisdiction, and found to be in compliance therewith on the Day of '
Name OTY Rate R~ting (~it¢~4it~ Tvoe
Alarm and emergency equipment
Sensor 2 0 0 CarMon/Srnoke
Appliances and Accessories
Dish Washer I 0 1.2 KW
Exhaust Fan I 0 F,H.P
Range 11 0 50 Amps
Miscellaneous
covers kitchen and two bathrooms
Wiring And Devices
Fixture 6 0 Incandescent
Outlet 6 0 Fixture
Outlet 14 0 Gen. Purpose
Receptacle 4 0 GFC,
Receptacle 7 0 Gert, Purpose
Switch 7 0 Gert, Purpose
seal
This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated.
AUG 21 2OO9
BLDG. OEP[
TOWN OF SOUTHOLD
0§6f68LI£9
dPI:~0 600E'8I D~
T~4~one ((t~ i ) 76.f~ I MI2
BUILDING
TOWN OIP ~lOtr~'~mOLD
CgRTIFICATION
I ce~Fy that th: solde~ used in the wamr supply system conlains less than 2/I 0 of 1%
Sworn ~o before u~ tim f7
C, oma~M4on Ezplr~ 4 / {8 / 20 t O
I ~md 00000-000-000 d~O:rO 600Z'g0 8fly
I0/I0 5BB~d MBGqiNMNMOHOS O~GEGSLIE9 EE:~I G00~/81/88
FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUII~)ING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
PERMIT NO. 33967 Z Date JI/NE 10, 2008
Permission is hereby granted to:
BARBARA ANN CONDON
1755 SIGSBEE RD
MATTITUCK,NY 11952
for :
ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR
at premises located at 68025 CR 48
County Tax ~4ap No. 473889 Section 033
pursuant to application dated MAY
Building Inspector to expire on DECEMBER
GREENPORT
Block 0003 Lot No. 036
28, 2008 and approved by the
10, 2009.
Fee $ 200.00
Authorized Signature
ORIGINAL
Rev. 5/8/02
TOWN OF SOUTHOLD BUILDING DEPT.
765-t 802
INSPECTION
[ ] ROUGH PLBG.
[ ]~TION
[/.~FINAL
] FIRE SAFETY INSPECTION
[ ]FOUNDATION 1ST
[ ]FOUNDATION 2ND
[ ]FRAMING / STRAPPING
[ ]FIREPLACE & CHIMNEY
[ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION
REMARKS:
DATE ~ INSPECTOR
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECT ION
[ ] FOUNDATION 1ST [~"J~ROUGH PLBG.
[ ] FO~/N~ATION 2ND
[ ~ FRAMING / STRAPPING [
[ ] FIREPLACE & CHIMNEY [
[ ] FIRE RESISTANT CONSTRUCTION [
[ ] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
] FIRE RESISTANT PENETRATION
REMARKS:
DATE
Frrt,DINSI~ECTIONREPORT iI DATE]~ COiVlMENTS
FO~ATION (1ST)
FOt~ATION (2N~) --
~s~ATION PER N.Y. _~
STATE ~NERGY CODE
~DITION~ COUNTS
Tt~Wl~OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 765-1802
FAX: (631) 765-9502
www. nor~hfork.net/Southold/
Examined
Approved
Disapproved
Expiration
PERMIT NO.
BUILDING PERIVIIT 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:
Phone:
Building Inspector
APPLICATION FOR BUILDING PERMIT
INSTRUCTIONS
~ I T be g let I filled
a: t his app ication MUS ._e~.~comp e y 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.
e. 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 coustmction 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 promises and in building for necossa~ inspections.
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder
Name of owner of premises ~
(As on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
House Number Street
Hamlet
Lot
Lot
Cotmty Tax Map No. 1000 Section ~.~ Block ~
Subdivision Filed Map No.
(Name)
2. construction:
State existing use and occupancy of premises,~nd intended use and occupancy of proposed
a. Existing use and occupancy
b. Intended use and occupancy
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work
4. Estimated Cost ~ cz:x:>
5. If dwelling, number of dwelling units
If garage, number of cars
Fcc
(Descdption)
(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
Heigh[ Number of Stories
Rear .Depth
Dimensions of same structure with alterations or additions: Front Rear
Depth ?~'o ~,4~,4,z,~.~reight .,/_~/".~ Number of Stories
8. Dimensions of entire new construction: Front Rear Depth
Height Number of Stories
9. Size of lot: 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
13. Will lot be m-graded? YES__ NO ~ Will excess fill be removed from premises? YES__ NO__
14. Names of ~.e/'Jil~remises~:~.-~ddress ,,'~,~t',.t'rJ.~'~.. Phone No. :~J~--l*~'~'
Name of~ ~ Address ' /,~ PhoneNo ~)
Name of Contractor Address Phone No.
15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES
* 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>C'
* IF YES, D.E.C. PERMITS MAY BE REQUIRED.
NO ;X
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 X, f~:.lh )
'~ ~ k~ ~' (_~ ,o ~ ~ ro being duly sworn, deposes and says tlmt (s)he is the applicant
(Name of individual signing contract) above named,
(S)He is the
(Contractor, Age'fit, 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
2.~'+~' dayof f~,q~ 20 o-g
¢'--~lotary Public Q~) O --
John M. Judge
NOTARY PUBLIC, State of New ¥orR
No. 01JU6059400
Ouali ed In Suffolk County
Commission Exp res M=y29, 20 } I
'gt~ture of Applicant
TOWN OF SOUTHOLD PROPERTY RECORD CARD
OWNER STREET ~ :' ~::<2 ~:; VILLAGE DIST SUB.
S ,, W TYPE OF BUILDING
?u~/~ ~. ~U~T ~'Z~:-~~ ,d~-- ·
~0 S~S. VL FARM COMM. CB. MISC. Mkt. Value
~ND IMP. TOTAL DATE REMARKS .
' i/ ' ( ,/ ~ .
Z~o ~ ~ I/~/~. ~2 ~),~-~ 11~?7~- ~ll,'kell,'~
· - ~~o~ ' , '
,-, ' z4
N~ NO~L BELOW ~BOVE / -- ~ IZ O ~12
FARM Acre Value Per Value
~re
'illable !
'illable 2
illable 3
/~dland
~amplond FRONTAGE ON WATER
r~lond ,_ FRONTAGE ON ROAD
ous~ Plot DEPTH
~' BULKH~D
~taI DOCK
M. Bldg.
E,~tension
C~OLOR
F~oundation
~ ~'se ment
Extension Ext. Walls
Extension Fire Place
Type Roof
Porch Recreation Roorr
Porch
Breezeway
Garage
Patio
Total
Dormer
Driveway
Bath
Floors
Interior Finish
Heat
Rooms 1st Floor
Rooms 2nd Floor
i LR.
DR.
BR.
FIN. B.
TRIM
M. Bldg.
Extension
, IF~oundat on
~ent
Both
Floors
nterior Finish
I
REMOVE STUD WALL,
WALL COVERINGS AND
BATHROOM FIXTURES
MASTER BEDROOM
BATHROOM
BEDROOM
REMOVE CEILING TILES IN~
HALL
L
BEDROOM ~ [
BEDROOM
2ND FLOOR DEMOLITION PLAN
REPLACE EXISTING WINDOW WITH
BLE GLAZED WINDOW
REPAIR DAMAGED WALLS AND
CEILINGS
(TYPICAL ALL ROOMS)
MASTER BEDROOM
BATHROOM --
itEW GFCI OUTLET
NEW 2X4 STUD WALL
FLOOR JOISTS BELOW
BEDROOM
REPAIR WINDOW WITH
PARTS FROM REMOVED
WINDOWS
INSTALL 1/2" GYPSUM ON_\
CEILING IN HALL -'~.-....
INSTALLNEWDGORON / /
CLOSET, /
HALL
~BEDROOM
BEDROOM
2ND FLOOR PLAN
REPLACE NEWEL
POST CAP
REMOVE WALLS, WALL
COVERINGS, FIXTURES
AND CABINETS
DINING
LIVING ROOM
KITCHEN
ENTRY
NEW HIGH HAT <
1ST FLOOR DEMOLITION PLAN
PLUMBING NOTES:
* All work and mteedals shall be in accordance with the New York State Building Code and Local Plumbing Codes,
Water Supply
* All water lines within the buildings are to be Type "U' copper tebing all water lines muted pelow ground are to be
Type K copper, All solder joints are to be made with lead free solder in accordance with local and State Codes.
* All water supply piping is to be insulated with 1 inch thick cylindrical molded glass fiber type Insulation with a 3Y~ lb. density.
* Shower and tub supply valves are to be temperature-actuated flow reduction type devices.
Waste
* All horizontal waste and vent runs of 2 inch waste pipe are to pitched at Y44 inch per foot. The 3 and 4 inch waste
and vent piping should also have a Y4 Inch per foot pitch wherever possible with a minimum pitch of Y~ inch per foot,
* Provide all vents shown in the drawings, as required by the Plumbing Code, and as necessary to prevent siphonage
or back pressure on the trap seals.
* Provide cleanoute as shown ia the drawings. Provide t8 inch clearance at all trap locations.,
* NI waste and vent pipes and water supply pipes shall be supported by pipe hangers. The hangers shall he installed
at a maximum spacing of 4 feet. All vertical runs are to he supported as required by local and State Codes,
* Pressure Test all waste and vent piping at the completion of rough in, Tightly close all openings in the piping system,
and fill with water to a point of overflow, but not less than 10 foot head of water. The water level is to remain level for a
minimum of 15 minutes to be considered leak free.
* Install ball valves at the locations shown on this drawing. Also installed Bate valves for hot and cold water at all fixtures. All exposed water
supply and waste piping to fixtures and the valves are to be 67% brass pipe chromiamo plated,
* Run water supply piping to fixtures concealed within walls and horizontally to fixtures. All pipes are to be equipped with chmome plated
eschuteons at all exposed floor and wall penetrations.
* All gas appliances are to be equipped with gas cocks,
1STFLOOR
BATHROOM
2NDFLOOR
BATHROOM
exisfingvent
~3"PVC
plumbing
WASTE PLUMBING RISER DRAWING
existing vent
," PVC
plumbing
2NDFLOOR 1STFLOOR
BATHROOM BATHROOM
{~',-- Connect to existing water supply lines /
SUPPLY PLUMBING RISER DRAWING
NEW HIGH HAT
SHOWER LIGHT
NEW WINDOW TO
NEW WALL L
NEW BATHROOM
RELOCATE RADIATOR
INSULATE WALLS WITH
CEILING
WitH R-30 BATT L//
NEW DOOR OPENING
EXISTING WINDOW (REUSE EXISTING
TO BE MOVED DOOR FROM FRONT
II ENTRY
OPEN PORCH
RELOCATED
REPAIR
NEW RADIATOR
MOVE RADIATOR
DINING
] r I
r.~ EXISTING CONCRETE STEPS
TO BE REPAIRED
LIVING ROOM
REPAIR DAMAGED WALLS AND
CEILINGS
(TYPICAL ALL ROOMS)
KITCHEN
~-- OUTLET
ENTRY
REPLACE NEWEL
POSt CAP
:~T't OF THE
REPLACE EXISTING WINDOWS
WITH NEW DOUBLE GLAZED
WINDOWS
1ST FLOOR PLAN
General Notes:
1 - Occupancy classification - Resideafial Group R-3
2 - Type 5 - Wood framed construction to be utilized,
3 - Building heighl- 25'±, fire area -1,703 s.fi
4 -The contractor b to verify all measurements in the field.
Electrical Notes:
1 - All electrical work shall be installed by a licensed electrician.
2 - All electrical work shall be in accordance with the National Electdc Code.
NEWDOOR SAMEASEXISTING
RELOCATE EXISTING DOOR TO REAR
ENTRY
ON,LEAD dONT?vT
EXISTING BRICK STEPS'TO BE ":
REPAIRED S{-")L~R ~'~
,. SUPPLY
cope of Work 211o OF 1% LEAD.
5- Replace 7 windows in front wall. Reuse storm paaels and screens and sashes
6- Repair window in west wall in front v,,~stera bedroom.
7- Remove ceiling tiles in second floor hall a
8- Renovate bathroom on second floor - See Plans
Scale: 1/4" = 1'~)"
Drawn by: JJC
Date ' 5-27-2008
9 - Renovate kitchen - See plans
10 - Remove first floor bathroom and renovate space - See plans
1t - Replace large window in second floor master bedroom.
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFI
OF OCCUPANCY
YORK S ATE NOT * 0 S FO
D~SIGN L~9~ ~. un[~, acting u,der ~e dlmcEon of, licensed
Engineenng, P.C.
1755 Sigsbee Road
Maffituck, New York 11952
(631) 298-1986
Condon Residence
~<?~-='?' C.R. 48
Greenport, New York
S-1
Floor Plans
2- rnstall aluminum gutters and leaders all roof edges,
3- Repair broken concrete at steps at rear entrance and westem porch
4- Repair door jamb at front entrance.
REPLACE EXISTING
~ WINDOW WITH NEW
DOUBLE GLAZED WINDOW
'-REQUIRED
3 - Carbon monoxide detectors must be installed on each floor of tee building
in accordance with Suffolk County specifications,
APPROVED AS NOTE~
~. INS~IIO~
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR
ALL CONSTRUCTION SMALL ME~ ~E
REQUIREMENTS OF THE CODES OF NEW
NGWASTE
,' '"iJN~NEED
1 - Repair front entry steps