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Home My WebLink About34692-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-33891 I~ate: 08/10/09 THIS ~KTIFIES that the building ALTERATIONS/ADDITION Location of Property: 120 RICHMOND RD EAST SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 135 Block 3 Lot 14 subdivision Filed Map No. -- Lot No. -- conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 19, 2009 purs,,m~t to which Building Per, nit No. 34692-Z dated MJkY 19, 2009 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 ADDITION AND INTERIOR ALTERATIONS TO AN EXISTING SEASONAL DWELLING. The certificate is issued to NICHOLAS & VIRGINIA ISIL (OWNER) of the aforesaid building. SI)FFOI=KCO~DEP~qTOF ~nJ~%qAPPROVAL N/A RI.R~-rKICAL ~RTIFIC2~TH NO. N 575138 11/05/01 pLiERS C~KTIFICATION DA'r~O 07/06/09 STEVEN BURNS Rev. 1/81 .. qt~is npplic~tion must be filled in by typewriter or ink and submitted to the Buildin~ De~t with the following:. For new building or 'new use: 1. Fin~t survey of property with accurate location of all buildln~, pmpoW/line~].~z, and unusual natural or 2: Final Approval fr0mHeaRh Depc of.w~orsuppty and sewerage-disPosal.(S-9 form). 3. Approval of eleCtrical installation ~omBoardofFire Underwriters. 4. Swom ~,vm. ~nt from plumber ~ that'the ~)lder u~d in.sy~em contains' le~ tha~ 2/10 of 1 ~ lea& 5. Commemiat building~ indusidal buiJ&in~.mulliple residences and similar buildings and'installaiio~s,a cerlffica~ of Cod~ Compliance f:ro~ arohiteqt or en~.~cr responsible.for the building. 6, 8ubnfft p~mning Board Approval of completed site plan req~ents: For existing'buildings (prior to April 9, 1957) non-conforming uses, oF buildings and "pre'existing' land~: 1. ' A~urate suc~y of Prol~ty ~h0wing all prop~fflin~, stme~,build~ and.unu~ua~ feature. 2. A pv~P~ly c~lote~l a~pl~fion, a~d con~t to ix~t ~ign~l by th~ ~pplic~nt. If a ~ific~te of Occupancy i~ clCn~l, t~ Building I~$pe~tOr ~hall' stnt¢ th~ z~ason~ th~r~f0r in writing to. C. Fees L Cer~cat¢~ccupancy~N¢wdwe~mg$~$~Add~ti~nst~dw~ng$7$~A~terat~nst~dwe~ng$2~ SWimming pool $25.00, Accessory building $25.00, Additions to access0ry build~ng $2~.00, B~s~nesses $50.00. 2~ Certificate ofOccupancyOn Pre,existing Building - $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated'Certificate of Occupancy - $50~00 ' 5~ Temporary Certificate of OccUpancy - Kesidential $15.00, Commercial $15.00 , /Wo q New .Constmctibn: Old or Pre-existing Building~ L0caiionofVroper~y.' /'~0 /~i¢4'a,o,J~' ~d. fa.t, · - HoUSe No.. Street. .Owner or Ownera of pwp~y: /[//¢~0/.~ ,~ · Suffolk County Ta~ Map No 1-000, Section / Subdivision permitNo. Dat¢ofPcrmit. :~"//~O ~ Health Dept. Approvzl: (check one) .3nu,el, //e..?/ Hamlet ~.S? / Block _~ Fil~l Map. Applicant: Underwriters Approval: Planning Board Approval: Request for." Temporary C~rtificate Fee Submitted: $ eff~. t 4 Finai Certificate: ~/ (check one) ~' ~pplicant Signature CERTIFICATION Building Permit No. Owner: fi~///C ~ (Please print) Plumber: (Please print) Date: I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers Signature) Sworn to before me this dayof ~a,v' , 20a'~ JA~.IET V. STEWAR.T NOTARY PUBLIC, State of New Yof~ No. 52.46633,'185 ~m~ion ~piro~ NOV. 30, ~ t~ THE NEW YORK BOARD OF FIRE UNDERWRITERS ; ~ ' ~ BUREAU OF ELECTRICITY ~- 40 FULTON STREET, NEW YORK, NY 10038 THIS CERTIFIES THAT in the following locaaon; ~ B~ement ~ 1st FL ~ 2nd Fl. ()2J'? Section Block ~t [~ . . , AMOUNT 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. 34692 Z Date MAY 19, 2009 Permission is hereby granted to: NICHOLAS & VIRGINIA ISIL 3810 GULF OF MEXICO DR., UNIT LONGBOAT KEY,FL 34228 for : ALT./ADD. W/SCREENED PORCH,COVERED PORCH,NEW HEATING SYSTEM FOR AN EXISTING ONE FAMILY AS APPLIED FOR.REPLACES EXPIRED BP# 26723 at premises located at County Tax Map No. 473889 Section 135 Block pursuant to application dated MAY 19, 2009 Building Inspector to expire on NOVEMBER 19, 120 RICHMOND RD EAST SOUTHOLD 0003 Lot No. 014 and'approved by the 2010. Fee $ 125.80 A~thorized Signature ORIGINAL Rev. 5/8/02 FORM NO. 3 TOWN OF $OUTHOLD 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. 26723 Z Date AUGUST 17~ 2000 Permission is hereby granted to: NICHOLAS & VIRGINIA ISIL 120 RICHMOND RD E. SOUTHOLD~NY 11971 for : ALTERATION ADDITION WITH SCREENED PORCH~ COVERED PORCH & NEW HEATING SYSTEM FOR AN EXISTING ONE FAMILY AS APPLIED FOR. at premises located at 120 County Tax Map No. 473889 Section 135 pursuant to application dated MARCH Building Inspector. RICHMOND RD EAST SOUTHOLD Block 0003 Lot No. 014 16~ 2000 and approved by the Fee $ 125.80 ORIGINAL Rev. 2/19/98 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~ULATION [ ] FRAMING / STRAPPING [ ~,'~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTAI~n' PENETRATION REMARKS, ~_~~:' ~..~. 76S-:1.802 BUILDING DEPT. INSPECTION [ ] FOUNDATIONIST [ ] ROU~LBG. [ ] FOUNDATION2ND [.~INSULATION [ ] FRAMING [ ]FINAL [ ] FIREPLAGE~& CHIMNEY · INSPECTIO I [ ] FOU/~ATION 1ST ~,'~ROUGH PLBG. i ]F~~MNIDNA~ION 2ND i i IFNINSUALLATION [ ] FIREPLAC.E~& CHIMNEY REMARKS: ~~ ~DATE ~INSPECTOR~ BUILDING DEPT. 79_.3 765-1802 BUILDING DEPT. [ 1ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ~DATE_~~ INSPECT~ 'IELD INSPECTION REPORT DATE 'OUNDAT ION ( IST) ~0UNDATION ( 2ND ) " , COMMENTS -PORN NO. I TO~N OF SOUTHOLD BUILDING DEPARTNENT TO~i HALL SOUTHOLU, N.Y. 11971 TEL: 765-1802 Dif~kop, o,~ed a/c .................................. BOARD OF HEALTH ................ --'-3 SETS OF PLANS ............... '--SURVEY ........................ p.O. ............... SEPTIC FOlOi ......... ~ .......... NOTIFY: HAIL TO: .................... APPLICATION FOR BUILDING PERItIT INSTRUCTIONS Date... r-~d./..o../.., 20.c~0.. a. lhls application mst he c~pletely filled in by type~iter or in ink and sulnitted to the Building Inspector 3 sets of plans, accurate plot plan to scale. Fee ~'~rding to schedule. b. Plot plan ~hc~ing location of lot and of buildings on premises, relationship to adjoining pr~ises or public streets or areas, and giving a detailed description of la. ut of property mist he dra~n tm the dingran ~aiah is part this application. c. lhe work c~ered by this application my not be ctmmnced before issuance of Building Pemit. d. Upan ~,~,oval of this application, the Building Inspector will issue a Building Permit to the applicant. permit shall he k~pt an the lmmfises available for inspection throughout the ~ork. e. Ro building mhall he occupied or used in donle or in part for any purpose ~hatever ontil a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATH~I IS ~ ~ to the Building P~pm-tn~t for the issumce of a Building Permit pursuant to the Building Zone Ordimmce of the Tm of Santhold, Suffolk County. Rga York, and other applicable Lgas, Ordin~ces or Regulations, for the construction of buildings, additions or alterations, or for rem~al or de~liticn, a~ herein described. Ton applicant agrees to ,,-reply with all applicable l~as, ordivamces, building cede, housing code, and regulations, and to ~amlt authorized inspectors on premises and in building for necessary inspectians. (Signature of applicant, or ~,'i}'~ corporation) (Na'iling ~-Ia~ess of applicant) State ~hether applicant is ogser, lessee, agent, architect, engineer, ~eneral ctmtrsctor, electrician, pl~her or ~il~r (~ ~ ~ t~ roll or latest ~) If ~licmt is a ~tim, siam of &ly mt~ri~ officer. (lime and title of eor0orate offleer) Builders License No .......................... Plurahers Lje~o~e No .......................... Electricimm License No ...................... Other Tra~'s License No 1. Location of land on ~hich proposed ~ork vi11 he doae .............................................................. ......... ./..-g.q ..... ...... .... 2/. ................... ltonse I~n~er Street Hanlet County Tax ICcp No. 1000 Section ..../~.~.:¢,: ..... mock .~..3...¢.~. ....... Lot ..~.(.¢.s.o.¢. .... Subdivision ..................................... Filed ~ No. l~ot (mm) 2. State existing use and oco?~-'y of premises and intended use and occupancy of proposed construction: a. Existing use and oceupanc~ ........ .~.tt..'t2.'2q.e..~.../2.q..,:~.~ ........................................... h. ........ .... .... ................................. P:~ure of ~ork (deck Milch applicable): txle~ Building .......... ~ldi[ion ...~. Mterati~ .... ~ ..... ~r ............ ~I ............. l~liti~ ............ OUmr ~ ...~.~.~ ............... ~rip~im) ~sti~t~ ~st ...... ~. ~-.0.0~.~ ~. f~ .............................................. (to ~ ~id ~ fili~ this a~li~ti~) 1[ &~lli~, ~r of ~lli~ traits ..... ~ ..... ~r of ~lling mits ~ e~ fl~r ................ If ~r~e, ~r of cars ...................................... If ]~mi~ss, ~rcial or ~ ~, ~i~ ~Cure ~ ~tent of e~ ~ of ~ ...................... Dimensi~s of ~isti~ st~s, if ~: ~t..~:.'~~. ..... ~ar ...~..~f. .... ~pth .~2~2~.i. ........ l~i~,t .... ~,[~.t.,. ............ ~r of 8toriea ...... ~. ............. Dir~msi~ of ~ st~re ~th alteratims or ~iti~s: ~t .... ~. ...... ~ar ............... ~pth .................... ~i$~t .................... ~r of Stories ............... ' Oi~nsi~ of entire ~ ~st~ti~: ~t ~' ~" ~ar .~ ,, ~t~ .~,~v ....... ......... ..... ................ ~i~ o~ ~o~: ~ ...7~.~C2 ...... ~,~ ./.~C,e[ ......... ~vti, tS~.~..( ........ ~ o~ ~,~,~ ... e./a~/~ ~e~.... ~ o~ ~o~t ~ ..... &o~....~.~ ~.: .......... 7~ or u~ district in ~i~ pr~i~s a~ si~t~ ................... ~ [ ·ms ~o~ ~t~ti~ violate a~ ~i~ 1~, o~i~e or ~lati~: ...... ~ .............. ~ill lot ~ ~ ...... ~ .......... ~ill ~ss fill ~ ~ ~ ~s: ~ ~ 7~Z_~Z~o. . /~&g · ~ of C~tr~tor ................................... ~ress ............................... ~ ~ ............... Is this p~rty ~thin ~ f~t of a till ~tl~ ~ ~ .......... ~ .... ~... PLOT DIAGRAN [~cate clearly and distinctly ail buildings, t/nether existing or proposed, and indicate ail set-beck dimensions From property lines. Give street and block ~her or description ~cording to deed, m~l sho~ street ms and indicate ~t~ther interior or corner lot. ...... /f~.*.~.../2.o.[~.3....~ .~-. ........................ being duly s~on,, deposes and says that he is tie applicant (Nane of individual signing contract) above naned, lie is the ................. ~)z,,d./~-~t..~'.. .................................................................... (Contractor, agent, corporate officer, etc.) of said o~mer or ~*n~rs, and is duly authorized to perform or hav~ I~rfor~l tie maid ~>rk and to nmlm and file this application; that all statements contained in this application am tru~ to the best of his kon~ledg~ and bolief~ and that the ~ork will ho perforn~l in the manner set forth in the appl. lcatlon filed there~th. ?~0~m to hef~e me this ..... (..~..~..,lay o~ ...~ r..~, ~.0,~.. HELENE D. HORNE Notary Public, State of New York No. 4951364 Qualified in Suffolk County~ "ommi~sion Expires May 22, NORTH ROAD ( c.R. 4s ) TOWN OF SOUTHOLD STREF i ~ 0 PROPERTY RECORD CARD VILLAGE S E SUB. LOT" ACR. TYPE OF BUILDING v LAND AGE IMP. VL. TOTAL FARM DATE BUILDING CONDITION COMM. CB. MICS.~ Mkt. valUe REMARKS NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Ac re Tillable FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meadowlond DEPTH House Plot BULKHEAD DOCK COLOR TRIM M. Bldg. Extension Extension Extension Breezeway Garage Petio Total 2-. & Foundation Basement Ext. Wells Fire Place Type Roof Recreation Room Dormer Bath Floors Interior Finish Heat Rooms ]st Floor Rooms 2nd Floor Driveway / Di.ette DR. BR. FIN. B FG R: ENERGY CODE CALCULATIONS (For Nol~-Zlec~rio llea~) ix, / Design c~ri~eria 6,OO0 Degree' DATED: DES SUMSYSTEM AREA "U" RATING Skylights O~ 0 Fi~or F~uuda ti~,~ Walls Slab Insulation TOTAL ~uilding Envelope Systems to meet requirements of 7815.2 HVAC Equipement to meet requirements of 7815.11 IIVAC Systems to meet requirements of 7815.T2 Duct Systems to meet requirements c~ 7815.13 Ventilatio~s Syste,us ~o meet requirements of 7815.14 I~sulatiu~ of ~iging Systems to meet requirements of 7~15.15 Service Water fleeting Systems & Equipmeuk to meet requirenle~ts of 7U15.21 Electrical & Lighting Systems & Equipment to meet requ~ cf 7~15.31 To the best cf my knowledge, belief, & professional judgement, thepe plans are i~ compliance with the code. JOB NO.: 99--9~95 O~ DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATIgN HAS BEEN APPROVED. pRIVATE ROAD ( 25' ~mE ) S 48*47' 3O 0 hJ STORY FRAME RESIDENCE e.o' No. X20 N/F MARY MULVANEY N 45°47' 30" W f50. O0' MAP of SURVEY OF DESCRIBED PROPERTY LOCATED AT: VILLAGE OF SOUTHOLD, TOWN OF SOUTHOLD, COUNTY OF SUFFOLK, STATE OF NEW YORK TAX DESIGNATION: % DISTRICT: fO00, SECTION: 135, BLOCK: 3, LOT: 14 TITLE No.: ~ED ON : CERTIFIED TO: 990.468 S AUGUST 19, 1999 STEWART TITLE INSURANCE COMPANY ALEXANDER TSUKERMAN N.Y.S. L.S. N°- 050189 ~0 0 2O 40 6O Scale 1" = 20' THE EXISTENCE OF RIGHT OF WAYS AND/OR EASEMENTS OF RECORD, IF ANY, NOT SHOWN ARE NOT CERTIFIED. LEONARD J. STRANDBERG AND ASSOCIATES, CONSULTING ENGINEERS AND LAND SURVEYORS, P.C. 92 ATLANTIC AVENUE, FREEPORT,, NY I ~520 516-378-2064 ° 212-213-4090 o FAX 516-37B-6G49 ONE EDGEWATER PLAZA, STATEN I, qLAArD, NY 10305 Suite 205 o 7t8--420-9693 FAX 718-420-9673 -I I AS TO PART 721.1 ~ ~/,<I~ u.~~ 7~1~ IJ14~ ~N ~ ~t~~ ~ ~~ FNDVIDE ~ HR. FIRE 2. nou6N ~ I ~o RATED SEPARATION TO d 3, ~Nsu~ PART 7]7.3 (f) (1) OF 4, FINAL CONS~U~ON MUST PROVIDE ANTf-SCALD AND/OR aE CO~ ~ CO. N.Y. STATE BUILDING CODE. THERMAL SHOCK PREVENTING ALL CONSTRU~ION 6HALL ME~ THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY CODES, NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY PROVIDE OPENINGS FOR EMERGENCY ESCAPEAS REQUIRED BY PART 714 OF N.% STATE BUILDING CODE. DO NOT PROCEED WITH FRAMING UNTIL SURVEY OF FOUNDATION LOCATION HAS BEEN APPROVED. UNOETfl,mnERS CERTifiCATE ~/~.~./~' DEVICES AS TO PART. RO2.6(K) N.Y. STATE BUILDING CODE. PERMIT REQUIRED FOR ALARM SYSTEMS UNDEM ALARM ~'~"/ PLUMBER CERTIFICATION ON LEAD CONTENT BEFORE CERTIF/CATE OF OCCUPANCY SOLDER USED/N WATER SUPPLY SYSTEM CANNOT EXCEED 2/10 of 1% LEAD. If copper tubing Is used for water distributing lystem; piping shall be of types K or L only UNDERWRITERS CERTIFICATE REQUIRED PLUMBING AU. PLUMBING WASTE & WATER UNES NEED TESTING BEPORE COVERING I. / 5/0" T ~-Iq f qs.,d L~:'R o M TIol ¸'1 I T ~, D MC~ .%1 ,-1 ri ?? TIoU