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HomeMy WebLinkAbout25588-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28880 THIS CERTIFIES that the building ADDITION Date: 09/19/02 Location of Property: 400 EAGLE NEST CT LAUREL (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 127 Block 9 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 1, 1999 pursuant to which Building Permit No. 25588-Z dated MARCH 9, 1999 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 SECOND STORY ADDITION & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DEIDRE & PATRICK FEDUN (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS Rev. 1/81 IIFO-11 N501740 09/23/99 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 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 - $25.00 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Owner or Owners of F Date. �QQ ,QQ,,�t+t to d or Pre-existing Buildi �r�`d"' � (check one). Suffolk County Tax Map No 1000, Section Block 9 Lot Subdivision Cg ry 1 c �Pr�\J\P u� C �C n=o o Filed Map. Lot: Permit /, / Permit No. -a S-58 92 //a�teofPemrit. ),0(9 Applicant: ti ra'a - ` /LGc'I P _ (/r) Health Dept. Approval: 7/ r Underwriters Approval: Planning Board Approvals 9v17 n Request for: Temporary Certificate Final Certificate: ,(check one) Fee Submitted: $ PO n A r D vIAIC 6213-5 ' ��plicant Si ature Go ?,-aw80 � • R Town Hall, 53095 Main Road P. O. Box 1179 Southold, New York 11971 =O��gpFFOL/CD �� ca T Fax (516) 765-1823 Telephone (516) 765-1802 OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N/ 7 DATE: /' 0 C� I Q j Building Permit `No. Agit) 8 LOwner: F e l� (please print) �( - I c Plumber: S �-ciC i ( i V o rt� r cv 1.}._ G l�s� VC � S T-1 0- (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. �� Notary Public, Stote of Now York No, 29=00 OuollW in Suffolk County Term Er*" MUM 31, 2o" Sworn to before me this ( umbers Signature) V Zk day of Oc-r- , 19 Notary Public, SO- F%l1-� County THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 1001105 BUREAU OF ELECTRICITY 40 FULTON STREET, NEW YORK,18231199/99 SEPTEMBER 23,1999N 501740 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of FEDUN, 400 EAGLE NECK COURT, LAUREL, NY in the following loc BB�sem nt 1st Fl. ❑ 2nd Fl. OUT Section Block Lot `a�EK 1',19 was examined on and found to be in compliance with the National Electrical Code.. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS RECEPTACLES SWITCHES OUTLETS INCANDESCE FWORESCENT I OMER AMT. I K.W. I AMT. I K.W. AMT. K.W. AMT.K.W. AMT. H.P. 5 12 10 5 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT. I TIME CLOCKS I BELL TRANS. UNIT HEATERS MULTI-OUTLET SYS EMS NO. OF FEET DIMMERS AMT. K.W. 011 N.P. GAS H.P. AMr. NO. A. W. G. AMT. AMP. AMT. AMPS. AMT. N.P. AMT. WATTS 1 20 1 600 SERVICE DISCONNECT NO. OP S E R V I C E AMT. AMP. TYPE METER EQUIP. NO. Of CC GOND. A. W. G. A. W. G. A. W. G. 1 0 2W 1 R JW J B JW J 0 AW PER 0 OF CG COND. NO. OF HI-LEG Of HI-IEG NO. OF NFUIRAL$ OF NEUTRAL OTHER APPARATUS: WHIRLPOOL BATH-1 PADDLE FAN—i 3 TON AIR CPNDITIONER-1 60A DISCONNECT-1 G.F.C.I:-2 SMOKE DETECTOR:-1 L L WILDWOOD ELECTRIC LIC.#1563— GENERAL MANAGER PO BOX 808 / 4th STREET WADING RIVER, NY, 11792 per This certificate must not be altered in any manner; return to the office of the Board If Incorrect. Inspectors may be icbbtified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTME Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 25588 Z Date MARCH 9, 1999 Permission is hereby granted to: DEIDRE & PATRICK FEDUN 400 EAGLE NEST CT LAUREL,NY 11948 for : CONSTRUCTION OF SECOND STORY ADDITION AND ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 400 EAGLE NEST CT LAUREL County Tax Map No. 473889 Section 127 Block 0009 Lot No. 004 pursuant to application dated FEBRUARY 1 1999 and approved by the Building Inspector. Fee $ 75.00 Rev. 2/19/98 ORIGINAL �, Ii i FORM NO. I _ TOWN OF SOUTHOLD BUILDING DEPARTMENT Ell DC.DEPT. TOWN HALL M OFSOUTHOLD _ SOUTHOLD, N.Y. 11971 TEL: 765-1802 Examined..... 2.. �7....... Y.19�!I c Approved ........ 3- ..., 19.!.1 Permit No. Disapproveda/c .................................. (TMaildicg Ir..�..^ctor) BOARD OF HEALTH .5� ........... 3 SETS OF PLANS ............... SURVEY .......... ......... CHECK ......... ......... SEPTIC FOR!! ........n........... NOTIFY: Nirdre PC FOR BUILDING PERMIT INSTRUCTIONS MAIL TO:........ ..... l Date.:1010a. / ...... 191q 7. a. This application oust be completely filled in by typewriter or in ink and submitted to the Building Inspector wi 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 giving a detailed description of layout of property brat be drawn on the diagram which is part of this application. 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 permit shall be kept on the premises available for inspection throughout the work. e. No building stall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been grunted by the Building Inspector. APPLICATION IS UMW MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zane Ordinance of the Tam of Southold, Suffolk County, Nov York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. 'Due applicant agrees to comply with all applicable laws, ordinances, building code, bousiog code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ...... :�...fieJ ............. (Signature of applicant, or na e, if a corporation) �a�T ..�a��4/.N. //�� (Mar ing address of applicant) State whether applicant is(ow lessee, agent, architect, engineer, ral cont tor, electrician, plumber or builde L21!!!�Zr...f.....��. ��f..................................................... Name of owner of premisesK�........., . ....... ....................... (as on the tax roll or latest deed) i If applicant is a corporation, signature of duly authorized officer. ......................................................... (Nae and title of corporate officer) Builders License No . ......................... Plumbers License No . ......................... Electricians License No . .................. Other Trade's License No . .................... .77...�� 1. Location of land on cinicn proposed work will be done .... !.�%.� LAW .. i..... ,...1., .........cu,+ 1<Q.j.o�1� ............. House N ober` Street qq Hamlet Canty Tax Map No. 1000 Section \\ .......... Block .....7.....r.�.r.7.. Lot .. 4 ....... Subdivision Filed Map No. ..J.J..... Lot ............ (Name) 2. State existing use and occupancy ofPremises and intended use and occupancy of proposed construction: cccy a. Existing use and occupancy ...... �n ( .r! ............................................. b. Intended use and occupancy .....PA .. ^`?`:.......................................... f. Nature of work (check iihicrlicable): New BuildingAddition ..: ... Alterati4Ai........ ' Repair ............ Rooml �.......... Demolition ........... Off iFr Work ................................. j (Description)'' ,,id i. Estimated Cost .. ?J.O 00......../.0 fee ........................................... (to be paid on filing this application) 5. if dwelling, number of dwelling unitsou'r i'JJJ r of dwelling units on each floor ................ tMty. Ifgarage, number of cars ...................................... 6. If business, commercial or mimed occupancy, specify nature and extent of each type of use ...................... 7. Dimensions of existing structures, if am: Front......f........... Rear ...7 ......... Depth ........... p� Height ....... czAd.m....... ... Number of Stories ...l / Dimensions of dame structure with alterations or additions: Front .......7�.... Rear 7 ..s ...... Depth .... ,fig ........... Height ..' R .............. HLYrber of stories ,o ......... I I S. Dimensions of entire new construction: Front ... i �`i,%2....... Rear .191........ Depth ..�.7..�... Height .................. limber of Stories .. ..y............... nr� QQ 9. Size of lot: Front ..�Jp.V............. Rear ......L5.Y. ....... Depth .A .4 I............. 10. Date of Purchase .. t.ol .. J �.......... Nae of Former Owner �.. Co. %f�d2!1pp� I �.. II. Zoe or use district in which premises are situated ...!x.7,.5 .Lia L: u ...................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ...N (�................ 13. Will lot be regraded ... nilO....../......D Will excess fill be removed from premises: 14. Names of Owner of praxises,.5 le.Aj,-S Name of Architect ..� 9C -,lad •'f yeas 5lL aCaneLix I�Rmu r S{. Phow No. o�ag-o�7 Hare of Contractor ... Address ..... ......................Phone Nor .............. 15. is this property within 300 feet of a tidal wetland? * YES ..........� 6'/....... *IF YES, SWnUfD MM TRDSIFBS PM4rT HAY RE RGWUMD. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set -back dimensions from property lines. Give street and block number or description according to deed, and sl w street nares and indicate whether interior or .orner lot. ci lag i W , Exi5fin5 We are jus -t a lRr � c----� � �eeV YDkz�r�13V`P/�.�.14CP SEA1T OF N,3I �(U[aC, ----1 0,�k c r O"[Y of ...7U. �.k ....... ..........................................................being duly sworn, deposes and says that he is the alylAicai: (Name of individual signing contract) above named, Ile is time t ` " Y (CfrncrActor, agent, corporate officer, etc.) of maid 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 beat of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to beEr me this ......./.5 .........d/ayy ofI9..�.1. Notary Public U CAROL L. IRYIlIp Notary Public, State of Now Y=1+ No. 4807879 Qualified in Sufiu!1: Uounty Cmmm:aewn Expirea Apr. 2$ 'IW .....,is ............................... (Signature of Applicant) 01 aIELD INSPECTION REPORT - DATE =esaaa:aa=x:aav:ass:s�xasasaa—I� i COMMENTS aaaas=—_=aasaaxaaa a:aaaa::a=z::asazaza n IN ,. p p 7r! O n rfH. WOUNDATION OST) p FOUNDATION 02ND) II p Cd 1*7 II n S TOUGH FRAME 6 �q PLUMBING ,f u p �—u ii u r N INSULATION PER N. Y. II H STATE ENERGY u p CODE q p II p it I p N `II p II `. Cd rr I p II �n Ili u FINAL p uezl A�I R• M *�— =aaaaaaaaa:aa==x--x==�xxaaf- ADDITIONAL CONEKNTS: da � y r` cl C x r� ra m H a Mgii6 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FIREPLACE & CHIMNEY REMARKS: [ ] INSU TION [ INAL L DATE `© INSPECTOR �M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] FOUNDATION 2ND [ ] FRAMING ( ] FIREPLACE A CHIMNEY [ ] ROU PLBG. [ �NSULATION [ ] FINAL REMARKS:i+�r �C DATE INSPECTOR C���T 765-1802 BUILDING DEPT. INSPECTION ( ] FOUNDATION IST [ ROUGH PLBG. [ ] FDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL ( ] FIREPLACE & CHIMNEY REMARKS: DATE INSPECTOR //Z-7 TOWN OF SOUTHOLD PROPERTY RECORD CARD N Tl �` OWNER STREET 1-/ Oc VILLAGE DIST.1 SUB. LOT COMM. CB. MICS. Mkt. Value �QB LAND IMP. TOTAL DATE REMARKS �C) G! '-'ca lu " FORMER OWNER N E ACR. t,/C,-� (c- Map -'sfclh Nc. 2Er1 -71oo BC,cc) o S W TYPE OF BUILDING s zH 46 RES. 7-16 SEAS. VL. FARM COMM. CB. MICS. Mkt. Value �QB LAND IMP. TOTAL DATE REMARKS �C) G! '-'ca lu " r '/ $ S -R i d 39 - p e a) k57 , Ine 40 !P un -O - -),u 42.44 -I L)U t,/C,-� (c- Map -'sfclh Nc. 2Er1 -71oo BC,cc) o 1 Som 65�� 0 ocx� s zH 46 Tillable ; a` FRONTAGE ON WATER Woodland FRONTAGE ON ROAD Meodowland DEPTH House Plot 9 I boo 153 Co BULKHEAD it fe. V, fTIIa. 1,. Y7T V, fTIIa. -9 IA/.W Ali d .Al.nJ &� THS r�PIJH l�►o + PIK iv cLs�c�• BUILDING PERMIT REVIEW CHECK LIST Application Name: e Dy N PAT eIG IL. Architect/Engineer: Date Submitted: 2' SCTM #: District: 1.000 Section: 17— 7 Block: 9 Lot: I ProjectSubdivision / f I Location: A G Lj e f. U R eL Name: GOLt� V I GW 65-ybre (� Q�`� Req. Req. Zoning District: 1 J— BO [Lot size: Actual: e e I [Lot coverage Proposed: Req., ^ Req. Req. [Front Yard (ID Proposed: [Side Yard �0 Proposed: 1 (Rear Yard Is, Proposed: Project Description: SewnC)-FCoo(z. AGENCY PERMITS REQUIRED FOR REVIEW Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: N.A. t'l Permit NO YES Numbe I • KN6104 �P�- r5�mIr -. a -a2.11. n 13/. i1..AI/_N kAli4A_AMr X51999 21IX12'l I. - tv, hf�OH tL�A-mt. vi U. 4, i =- tux [oily 4°w1211 I�i�' � ra- �Ylh�`� 11..�• -..a' 'r m'e. ,,-4n ., 1 -. ^, I',-^rrL {T ul 4�. Ft'4�nWYe�J74 a., ,euarti :^W i7; �,. n+wa' ..,- ,•,ae9w tY "i".,}. h. fRn- V+FS+ .l ::.'r c.: r .I' - F M! ,'�gn+53t+4 'iin ,.Y9 _r r ."! - F " Ov,KI-lo4 t�- 1SPh11 U. 4, i =- tux [oily 4°w1211 I�i�' � ra- �Ylh�`� 11..�• GENERAL NOTM 4 STOCKDRAFYING FORM NO. 101-54 0' 1��•4 L 0 f L/ 4 p4H,1/- F fdk -10 y 14L liv 7 inn-* pLftumm" ��� IGS S�� APPROVED AS NOTED PLUMBER CERTIFICATION DATE: Z-2-99 8.P-# ON LEAD CONTENT BEFORE FEE: 767 - BY. i - - p IC CERTIFICATE OF OCCUPANCY NOTIFY BUILDING DEPARTMENT Xr SOLDER USED IN WATER 765-1802 9 AM TO 4 PM FOR THE SUppLy SYSTEM CANNOT FOLLOWING INSPECTIONS: 1 FOUNDATION - TWO REQUIRED EXCEED 211 o OF I% LEAD. FOR POURED CONCRETE 2. ROUGH - FRAMING & FLUMMNQ If COPPW tubkv Is used 3. INSULATION for water dim burig 4. FINAL - CONSTRUCTION MUST OPtOrM PIPkV shall be BE COMPLETE FOR C.O. 91 ALL CONSTRUCTION SMALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTION & ENERGY SUMMARY -OF TOTAL THERMAL RATING CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS If *e Total Ther#al.,Rafting, is tern (q oe" greater,, the,.proposed d#s4gn for the building VVYflo Cede:, ode, OCCUPANCY OR TtICW,L TABLE ARfA. U�,Mtj USI: IS UNLAWFUL �AT_1*4, uSED L IN]THOUT CERTIFICATE -A. F"/CfItING OF OCCUPANCY 8. 4T WALLS UNDERWRITERS CERTIFICATE REQUIRED C.. '4AZING l(io_dow JI 44C Wit*d:ow Skylights PROVIDE SMOKE -DETECTING Dl. FtOORSALARM DEVICES AS M PART. 721.1 02. e4SEMENTICELLAR WALLS f N.Y--S BUILDING CODE. 41 11° periceeter ��et El posure Above Grade f4et, I�Va 1� U lue PROVIDE OPENINGS FOR p.h of W411 U -Valine Below: Gfade Inches EMERGENCY ESCAPE AS D3. AB INSULATION REQUIRED BY PART. 714 OF , I S p N.Y. STATE BUILDING CODE. lab, trio4ter Piet 4suilation A -Valve L E. I C. IFILTPATI-ON CONTROL PROVIDE % HR. FIRE nd+itionWTlq*r Area S. Ft. RATED SEPARATION TO F. - S$ffH FACING BLAZING PART. 717.3 (f) (1) OF Stt+h Gjas,%/Total Glass rqent N.Y. STATE BUILDING CODE. GL Area/GrossVall Area Rtcent, Wditioned Floor Area S4, Ft, TOTAL THEMkt RAT I NG 1,4v OF N W 00E ti m T I V-14 REVISIONS iffyr T DATE t SCALE �� ��T�v DRAWN Joe SHEET Ar, OF SHEETS Y IL 0 z 4-i 4;, 142 1/1, STOCKORAFTING FORM NO. 101.54 1% Ilk Aoolq Nor fe -OL L 'y 141 0 ol WWI 1 ti ek Xorl�ll U + vv ... Yom.. 1 � "� �, *f fl, f/, �� Fu 11/7 1 � v 711/. i# 11 � '' p PROPOSED SECOND FLOOR PLAN 14, 1r- OF NEI, O4GE 056.106 0 ESSIOAP REVISIONS BY r2 STOCKORAFTING FORM NO. 101.54 1% Ilk Aoolq Nor fe -OL L 'y 141 0 ol WWI 1 ti ek Xorl�ll U + vv ... Yom.. 1 � "� �, *f fl, f/, �� Fu 11/7 1 � v 711/. i# 11 � '' p PROPOSED SECOND FLOOR PLAN 14, 1r- OF NEI, O4GE 056.106 0 ESSIOAP REVISIONS BY lj-y- -1 V DATE SCALE DRAWN JOB* fi SHEET Two, OF SHEETS Aw ot�� 4 M�l FRONT ELEVATION LEFT ELEVATION of Nriv 0q.GE ob PPESS104 REVISIOki,; BY <ZZ) 7� DATE 10 SCALE t/ I'll :0 1 DRAWN JOB SHEET OF SHEETS