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HomeMy WebLinkAbout35137-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34254 Date: 04/05/10 THIS CERTIFIES that the building ADDITION SOIJ%R PANELS Location of Property: 95 VISTA PL CUTCHOGUE (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 83 Block 1 Lot 21 Filed Map No. __ Lot No. __ Subdivision (HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 28, 2009 pursuant to which Building Permit NO. 35137-Z dated NOVEMBER 6, 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 SOLAR PANEL ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to FREDERICK & CAROLYN LUBANKSI (OWNER) of the aforesaid building. SIIFFOLKCO~DEPART~IENT OF }{F~%LTHAPPROV~J~ N/A ELEt-£~ICAL CERTIFICATE NO. 12466 03/04/10 PLUMBERS CERTIFICATION DA'r~u N/A tho/ze~Signature Rev. 1/81 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL , 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP: This application must be filled in by typewriter or ink and submitted to the Building A. For new building or new use: 1. Final survey of property with accurate locat'ion of all buildings, property lines 3. 4. 5. topographic features. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 Approval of electrical installation from' Board of Fire Underwriters. UlJl stre~s, and unusual natural form). BLDG. DEPL TOWN OF SOUTHOLD Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from amhitect or engineer responsible for the building. 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 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. i~/~,~1/.~ /~ / t , ' (check one) House No. New Construction: Location of Property: Owner or Owners of Property: Vtq.~. ']) Suffolk County Tax Map No 1000, Section Old or Pre-existing Building: Street Hamlet OR3 BlOck O00l Lot, Subdivision 33te a b/ [-ttLLS Permit No. Health Dept. Approval: DateofPermit. II/(o/O Filed Map. t4 q 0 g Lot: Applicant: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~ ff., O O Final Certificate: (check one) nt S i~'itir~. SUFZOt K R J~E/\ I 40 Nottingham Drive, Middle Island. NY 11953 Telephone: 631 4958136 · Fax: 631 9806455 · E-Mail: SBEIGS~gmail.com CERTIFICATE OF ELECTRICAL COMPLIANCE Applicant: Rough In Inspection Date: Application No.: Alternative Power and Light 12466 Certificate No.: :12466 Final Tnspection Date: Nar 04, 2010 Building Permit No.: 35137 County Tax Map No.: This Certificate 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 af'cer the final inspection date above: Owner: Fred Linbanski Site Location: 95 Vista Place, Cutchogue, NY 11935 Owner's Address (if different): '~ Residential ? Indoor ~i Basement ::. Service ': Shed Commercial :~ Outdoor ' .. First Floor :_~ Pool .: Hottub ~_ New ~i Renovation L__ Second Floor -~i'~ Attic Garage _"Addition ~_~ Survey Other: photovoltaic system INVENTORY Single Phase Heat Duplex Recpt Ceiling Fixture HID Fixture~ TIIree Phase Hot ~ GFCI Recpt W1atl Fixture Smoke Main Panel AC Concl Single Recpt Recessed Fixture CO Detect Transformer Ap~iances D~/er Reqot Emergency Time Clock 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: Alternative Power and Light License No.: 4063-ME Inspected By: Roger Richert Date Of Certificate: Mar 08,2010 Michael F. Morbillo, AIA Principal 'Design Group, PLLC March 29, 2010 Building Department Town of Southold Town Hall Southold, New York 11971 Re: Solar Panel Installation Certification, Lubanski Residence, 95 Vista Place, Cutehogue, New York Dear Sir/Madame, This letter is to certify the above installation for compliance to the Residential Code of New York State for installation of Solar Panels. 1) 2) 3) The existing roof structure, 2x6 Roof Rafters at 16" on center, is strong enough to support the additional weight (3.0 Ibs/sq.ft.) of the solar units. The mounting brackets and hardware meet or exceed the Residemial Code of New York State for the design criteria for the Town of Southold. The actual in field attachment to the roof meet or exceed The Residential Code of New York State requirements. If you have any questions, then please contact me at my office at (631) 471-9500, ext. 220. Thank you for your attention to this matter. Sincerely, Phone · (631) 471-g500 Fax · (631) 471-g510 Email . info~ENSPIREpllc, com Web · www. ENSPIREpllc. com Enspire Design Group, PLLC 700-A Koehler Avenue Ronkonkoma, New York 11779 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPA/{TMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 35137 Z Date NOVEMBER 6, 2009 Permission is hereby granted to: FREDERICK LUBANSKI 95 VISTA PLACE CUTCHOGUE,NY 11935 for : INSTALL SOLAR P~ELS ON THE ROOF OF AN EXISTING SFD PER APPROVED PLANS AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 083 pursuant to application dated OCTOBER Building Inspector to expire on MAY 95 VISTA PL CUTCHOGUE Block 0001 Lot No. 021 28, 2009 and approved by the 6, 2011. Fee $ 200.00 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765- t 802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION [ ] ROUGH PLBG. ] INS/ULATION FIRE SAFETY INSPECTION FIRE RESISTANT PENETRATION DATE INSPECTOR FIELD ][NSPEi..~I'ION REPORT { DATE I ' COMMENTS FOtr~A~O~ FO~ATION (2~) · ROUGH F~G & pL~G ~S~A~ON PER N. Y. STA~ ~RGY CODE 3/~ 7m ~ ~ ~D~ION~ COUNTS Town of Erosion, Sedimentation & Storm Water Run-off ASSES8MENT FORM PROPERTY LOCATION: 8.C.T.M.~I: T~IE FOLLOWING ACTIONS MAY REQUIRE THE 8U"a~!~-'~!O~ OF A Item Number: (NOTE: A Check Mark (.~) for each Question is Required for a Complete Application) Yas No Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rain,all on Site? ./ r~ (This item will include all turnoff created by site cleating and/or construction a~ttes as well as all Site _Y_ Improvements and the pe~t creation of Ir~ sudecas.) Does the Site Plon and/or Survey Show Ali Pmposed Dm,cage Slmctures ,ndicalthg Size & Lecation? Th~s Item shall Include all Pre~ Grade Changes and Slopes Con~rolling Surfaon WetesCtewt Will this Project Require any Land Filling, Grading or Excavation wi~era ~ Is a chonge to the Natural Existing Grade Involving more than 200 Cubic Yards of Matedol within any Parcel? L.~ __v Will this Application Require Land Disturbing A~Mflas Encompassing an Area in Excess of r-~ Five Thousand (5,000) Square Feet of Gmond Surfase? ~ __v Is there a Natural Water Course P, uonk~l through the Site? r-~ v// Is this Project within the Trustees judsdlofiofl or wtihln One Hundred (100') feet of a WeUand er Beach? oneWil' there be Stie Praparaflon on Existing Orede Slopes which Excasd Fifteen (15) foet of Ve~cal Rise foHundred (100') of Horizontal Olstan~e? r~ --/ Will Driveways. Parking Areas er other Impervious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direc~on of a Town ~ght-of-way? Will this Project Require the Piaoement of Material; Removal of Vegetation and/or the Conoln~i~on of r~ / any Item Within the Town Right-of-Way or Road Shoulder Area? (This item will NOT Include the Installation of Driveway Aprons.) w,, this..~ Re.u~re slte P-psretlo. withl, tho o~..n.~ 000) ~eer ~,~al. ~an~ W.~=urs.? [~] NOTE: it* Any/[newer lo Qnastlons One throagh Nine is Answ.red with a Check Merk In the Box~ e Storm-Water, Oradln~, Drainage & Erosion Control Plan Is Required and Must be 8ubmlffed for Review Prior to Issuance of Any Butidlng Permlfl EXEMPTION: .Y..es N...~o Does this project meet the minimum standards for classiest[on as. on AgriculturaJ Project? /' Note: If You Answered Yes to this Question, a Storm-Water, Grading, Dmthnge & Erosion Control Plan Is NOT Requlmdl -- STATE OF NEW YORK, country o~ ..._~.....~.~.~.~ ............ ss That I, ~"~.~.~.......~...O..~..Z~....~....~...! ................. being duly sworn, deposes and says that he/she is the applicant for ?ennit, (Name C~ ~di'~dual ~ ....... ............................ Chfis,... . her J. We bach Owner an ' , . · NO £ UUII~ ri. take and file d~..'? application; .t~.t all statements contained in this application are true to the best mat the work will be performed ,n the manner set forth in ~h¢ application filed herewi& rx 1'/1'~ · ........................ ................ =o.0.?Commi ion FORM - 06/07 20 { TOWN .OF SOUTHOLD PROPERTY RECORD CARD /'/-/, · ACR. ' FORMER OWNER N ,?~'~(~-L t~.-,~ E 'De~¥ kC~,k~ ~ ' ~,~ I~ ~1~'~ ES. /~ S~S. vg FA~ COMM. CB. MISC. Mkt. Value ~ND IMP. TOTAL DATE REMARKS AGE BUILDING CONDITION ff2~[~ N~ NOR~L BELOW ABOVE ~/3 ,/~ ~ ~, FARM Acre VaJue Per VaJue ~//~[~ A~,e . 3h]o~ ~ ~'1~ ~//lU~' ,, ~-/ U ~mpl~nd FRONTAGE ON WATER rushi~nd FRONTAGE ON ROAD otol ~ ~ ~{ ~ DOCK ~M. Bldg. Extension Extension Extension COLOR TRIM Foundation Basement Ext. Wails :ire Place Bath Floors nterior Finish ~eat Dinette LR. DR. Type Roof Rooms 1st Floor BR. Porch Recreation Room Rooms 2nd Floor FIN. B. Porch )ormer Breezeway Driveway Garage Patio ~,~'~,ili~_~/Jr~,~ . l~s.,o.~- -'~ ' ....... ', ~' ~" have ~h' ~.-.,-,~ .. Chief of Gene]a~. Enjineerln~ Services ~ ..... " ~0 ':~ /" ~- . ~ ~".~:~c- iU~~, N. Y. THE WAT~ ~U~LY AND ~N~ Wl~ ~M ~ THE AP~ICA~ TOWN OF SOUTHODD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork. net Approved Disapproved adc Expiration 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 Trustees Flood Permit Storm-Water Assessment Form Contact: Building Inspector PERMIT OCT 2 ~ ~ INSTRUCTIONS ,g Inspector with 4 to schedule. }remises, relationship to adjoining premises or public streets or 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. £ 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 fi.om 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. (Signatff~ of app~ O~'N~, ifa corporation) (Mailing address of applicant) t ' State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Nameofownerofpremises C/~'~.O LkjKJ (As on the tax roll or latest deed) 1£ 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. I. Location of land on which proposed work will be done: House Number Street Hamlet County Tax ~ap No. lO00 Section (o2.~ ,__Block C')i , Lot 'q¢"l Subdivision ~I.-EIlcIk t~..-5 A3' f',)Tr.l.k.._3gro~ Filed Map No.~ Lot t( 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ~'~ T_~-)_~z_~o-'"r? b. Intended use and occupancy 3. Nature of work (check which applicable): New Building_ Addition Alteration Repair Removal Demolition Other Work .~-.[ ~,.~ .O,~,.~:-- (Description) 4. Estimated Cost ~[~/z~.._~; OO~ Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units ~ Number of dwelling units on each floor If garage, number of cars 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dmensionsofexistingstructures, ifany:Front 7~' Rear q3'" Depth Height I ~' ~ Number of Stories Dimensions of same structure with alterations or additions: Front _~ Rear Depth Height I~ Number of Stories 8. Dimensions of entire new construction: Front Rear .Depth Height Number of Stories 9. Size oflot: Front ]~t{,~'~ Rear ~ ~,1 Depth 11.7, 1~ 10. Date of Purchase ~' I I~ I~ t! Name of Former Owner 11. Zone or use district in which premises are situated '~ ~ L~ ~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13 Will lot be re-graded? YES NO ~.W excess fill be removed from premises? YES NO 14. Names of Owner of premises~ddressCrrt II.v.~-~ ,c,.?, fft~h0ne No. {~] [ - Name of Architect to - c ' Address gloMt,os~t'r~t4 6.y: Phone No ~1 I~..J~..t - Name of Contractor 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. h. Is this property within 300 feet of a tidal wetland? * YES NO )E * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to proper~ lines. 17. If alevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions wlth respcct to this property? * YES ~ NO__ * 1F YES, PROVIDE A COPY. STATE OF NEW YORK) SS: COUNTY OF ) (~./~gh,%',~.l &l i t ~"3.~'- t.t (a ~ being duly sworn, deposes ~d says th~ (s)he is the applic~t (N~e ofi~ividu~ s~i~g ~o~tr~t~ a~e n~ed, C stopher J. Weisshch (S)Heisthe.... '" York (Con.actor, Agent, Co.orate Officer, etc.) ~0~ ~D~C~ D~ Ut ew of said o~er or o~ers, ~d is duly au~or~ed to perfom or have perfo~ed ~e said work ~d to ~~ that all statements contmned ~ this application ~e ~e to ~e best of his ~owledge ~d beli~; ~d~th~w9rk ~1 ~ ~ ~ ~ perfo~ed in the m~er set fo~ in ~e application filed therewith. ~ ~ b~0~ ~ Sw~tobFforemethi~ { k ~ C0 0n AUnt 11, 20il ~ day of~ 20~ P.O. Box 1179 TclcI)hone (631 ) 763-180~ Fax (63 I) 76,5-9502 BI 1II,I)ING I)I';I'ARTMIqNT TOWN OF $OUTHOLD March 26, 2010 Frederick Lubanski 195 Vista Place Cutchogue, NY 11935 ~0-~efore the Certificate of Occupancy can be processed, an architect or engineer "--.~tify the installation meets New York State Building Code. TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00 Final Health Department approval. Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) __ Trustees Certificate of Compliance. Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 35173-Z solar panels IOOA METEf~ PANEL TYPIC, AL ~lSE~ DIA~P.,AM N.T.5. ATTIC 400~ AFZCHITEClqJR~L ASPHALT 5HfN~LE5 ICE SHIELD MIN 2' FEOH INSIDE OF HALL ~,OOF= SECTION RETAIN S'TORM WATER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. UNDERWRITERS CERTIFICA~ REQUIRED CERTIFICATION OF NAIL[N~ & CONNECTIONS RI?QUIRED. (44) EUN f PANEL ~,OOF PLAN AYOL,IT DESIGN LOADING: II, 3EILING LIVE LOAD: 29 P.S.F. .~ND. FLOOR LIVE LOAD: 30 P.S.F. ~OLAR PANEL DEAD LOAD: 3 P.S.F. =,OOF LOAD: 30 P.S,F. ~NOW LOAD (GROUND): 25 P,S.F. NIND LOAD: 35 P.S.F, (120 MPH) ~EISMIC LOAD: C ZONE (EXEMPT, SEE R301,2.2) 10 P.S.F. SENEGAL NOTE5 Architect ENSPIRE Design Group, PLLC ENSPIRE DESIGN GROUP, PLLC 700-A KOEHLER AVENUE RONKONKOMA, NEW YORK, 11779 Phone: 631-471-9500 Fax: 631-471-9510 MICHAEL F, MORBILLO, AIA - Principal New York State License #25202 Mechanical, Electrical, Plumbing Consultant General Notes No.DateReviaion Deacription PROJECT TITLE: SOLAR PANEL LAYOUT FOR THE LUBANSKI RESIDENCE 95 VISTA PLACE CUTCHOGUE, NEW YORK 11935 TITLE SHEET: ROOF PLAN & GENERAL NOTES & SECTION & RISER PROJECT NO. 0~.098 ~HEE~ NO. o,me: 10-22-09 DESIGN BY: ~ F, UOF~I.LO, AIA ~ ..j / SCALE: A8 NOTED