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HomeMy WebLinkAbout34493-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34350 Date: 05/14/10 THIS C~KTIFIES that the building ALTERATIONS Location of Property: 1575 STERLING RD (HOUSE NO.) (STREET) County Tax Map No. 473889 Section 104 Block 2 subdivision Filed Map No. __ Lot No. __ CUTCHOGUE Lot 22 {HAMLET) conforms substantially to the Application for Building Permit heretofore filed in this office dated MARCH 4, 2009 purs,,~-t to which Building Permit No. 34493-Z dated MARCH 10, 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 ALTER3~TIONS TO AN EXISTING BASEMENT WITH PARTIAL LIVING SPACE (NO SLEEPING) TO ~/~ EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to DAVID D ROHDE of the aforesaid building. (OWNER) SUFFOLK COOlT~Y DEPARTMENT OF HF2%LTH APPROVAL N/A ELECII{ICAL c~TIFICATE NO. 132959C 05/03/10 PLIERS ~TIFICATION DA'tm 04/16/10 LI SUNRISE PLUMBING ~~th~/~nature Rev. 1/81 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: I. 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 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 Property: /~ Suffolk County Tax Map No 1000, Section Subdivision Date. Old or Pre-existing Building: ~ (check one) House No. Street Hamlet Date of Permit. Permit No. '¢ qq~93 Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ Block ~ Lot ~ ~-- Filed Map. ]]~ Lot: Applicant: Underwriters Approval: Final Certificate: (check one) Applicant Signature Town Hall Annex 54375 Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone (631 ) 765-1802 Fax (631 ) 765-95'02 BUILDI/qG DEPARTMENT TOWN O1~ 8OUTHOLD CERTIFICATION rote: '1-/'4 -/0 Building Permit No. Owner: '~ ~,~ ~d~ (Please print) (Ple~e prat) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this aayof ~f~','/ , 20 /0 Notary Public, ,/~ q ..5 . County ~_,¢Z~.-~ o -z c r~ ~ / l ~ O Z ' (lal~li~bers Signature) Issue Date 5/3/2010 Electrical Inspection Certificate Electrical Inspection Service, Inc. Application Number 375 Dunton Avenue 132959C East Patchogue, NewYork 11772 (631) 286-6642 Issued To: Dave Rhode Street: 1575 Sterling Road Village: Cutchogue Zip: Section: Block: Lot: Contractor: VMD/Tremat Electric, Inc. 11935 Town: Southold Lic. # 4684-E Was examined and found to be in compliance with the National Electrica! Code. Commercial NV Defects Pool X Residential Det. Garage Attic Switches Receptacles Fixtures 9 16 10 Dishwasher Washer/Amps Dryer/Amps 1 1 Furnace Oil Gas Circulators Meter Amps Phase UG/OH Jacuzzi lstFIoor X Indoor X Basement HotTub 2nd Floor Outdoor Addition Survey GFI Heaters A/C Fans 3 1-Bath Oven Range/Amps Microwaves Smoke Detector Bell Transformer 3 Television CO Detector Bldg. Permit: 34493 Other Equipment ~-Co/Smoke Combo Hugo S. Surdi President nh Inspection: 03/03/2010 John Mc Mahon III This certificate must not be altered in any manner. Inspectors may be identified by their credentials. FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 34493 Z Date MARCH 10, 2009 Permission is hereby granted to: DAVID D. ROHDE 1575 STERLING ROAD CUTCHOGUE,NY 11935 for : INTERIOR/EXTERIOR ALTERATIONS, FINISHING BASEMENT PER APPROVED PLANS AS APPLIED FOR. at premises located at 1575 STERLING RD CUTCHOGUE County Tax Map No. 473889 Section 104 Block 0002 Lot No. 022 pursuant to application dated MARCH 4, 2009 and approved by the Building Inspector to expire on SEPTEMBER 10, 2010. Fee $ 369.60 Authorized Signature ORIGINAL Rev. 5/8/02 TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST ~ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION ~STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE INSPECTOR ~'~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRB RESISTANT CONSTRUCTION [ ] ROUGH PLBG. ~C~INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT PENETRATION REMARKS: DATE ~--//f/~ INSPECTOR~~~'~''~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]RRE RESISTANT CONSTRUCTION REMARKS: [ ] ROUGH PLBG. [ ] INSULATION [/~NAL ] FIRE SAFETY INSPECTION ] FIRE RESISTANT PENETRATION DATE TOWN OF SOUTHOLD BUILDING DEPT. 765-t 802 INSPECTION [ ] ROUGH PLBG. [ ] IN/,,~U~ATION [~'~INAL [ ] FIRE SAFETY INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION DATE FOUNDATION (2ND) ', PLUMBING , INSULATION PER N.Y. - STATE ENERGY CODE F~ ~DITION~ CO~ENTS TOWN OF SOU'rHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. n0r~h fork. net/Southold/ Approved ~// !i' 20 c/~/ Disapproved a/¢ Expiration ti' { } L~ ,20 I(~) PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Bozrd of Health 4 sets of Building Plans Planning Board approval '('- ~ Survey. Septic Form N.Y.S.D.E.C. Trust.s Contact: Mail to: Building ~spec~or Phone: PLICATION FOR BUILDING PERMIT Date INSTRUCTIONS a. This application MUST be completely filled 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. 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 afar 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. Thm~ffter, 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 ail applicable laws, ordinances, building code, honsin~ code, and regulations, and to admit authorized inspcctom on premises and in building for nacessary inspections. ~S i~gns~can.~t or__ration) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 'r-eoT 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. '1 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 County Tax Map No. 1000 Section Subdivision (Name) Hamlet Block ~ Filed Map No. Lot Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars -.~ ,? Fee · Alteration (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 Rear Number of Stisr es ;' ~,~11 . .Depth Dimensions of same structure with alterations or add!tions: Front Depth, Height' 8. Dimensions of entire n'e~ construction: Front Height Number of Stories 9. Size of lot: Front Rear 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 lotbe re-graded? YES__ 14. Names of Owner of premises Name of Architect Name of Contractor NO __Will excess fill be removed from prcnnises? YES__ Address Phone No. Address Phone i',1o Address Phone No. NO 15 a. Is this property within 100 feet of a tidal wetland or a fl'eshwater 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 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) ss: COUNTY OF ) being duly sworn, d~pt~se~ and s~ays t~at ~(s)be is the applicant (Name of individual siEnlng contmc~ above named, (S)He 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 m~e and file this application; that all statements contained in this application are tree 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 day of 20__ Notary Public ' Signature Of Applicant ! ! have been ins D~UN~ H.S, REF. N.Of.'. Ipply facilities'for this th~ ~pa~nt TOWN OF $OUTHOLD PROPERTY RECORD CARD OWNER FOR6AER STREET RES. c~/O LAND SEAS. VL (~ IMP. TOTAL FARM COMM. VI LLAGE DATE REMARKS, ACREAGE , ~..~ ~/~'- TYPE OF BUILDING I ~.~ CB. MISC. ' Est. Mkt. Value AGE NEW NORN~AL BUILDING BELOW Farm Acre Value Per Acre Tillable I Tillable 2 Tillable 3 Woodland Swampland B rus~nd~,~ House Plot Total Value ABOVE FRONTAGE ON WATER ~RO~GE O~ ~0~ / BULKH~D ~D~K ~2/~ /~. -,, ., . Town Hall Ampex 3¢373 Main Road 1'.O. Box 117!) Southokl, NY 11!)71-0959 April12,2010 David Duffield Rohde 105 Adams Street, Apt 9B Brooklyn, NY 11201 BUILDING 1)EPAI/TMENT TOWN OF SOUTHOLD Telephone (631) 765-1802 Fax (631) 765-9502 RE: 1575 Steding Road, Cutchogue 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: 34493-Z alterations Permit Number Checked By/Date REScheck Compliance Certificate New York State Energy Conservation Construction Code REScheckSoflware Version 3.6 Release 1 Data filename: C:~Program Files\CheckLRESchcck\ETRohdeRescheck.rck PROJECT TITLE: 1575 Sterling Rd., Cutchogue COUNTY: Suffolk STATE: New York HDD: 5750 CONSTRUCTION TYPE: Detached I or 2 Family HEATING TYPE: Non-Electric WINDOW / WALL RATIO: 0.29 DATE: 03/01/09 DATE OF PLANS: March 3 2009 PROJECT DESCRIPTION: Basement renovation DESIGNER/CONTRACTOR: Elizabeth Thompson, Architect Eric Danoy, Contractor COMPLIANCE: Passes Maximum UA = 149 Your Home UA = 149 0.0% Better Than Code (UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Basement Wall 1: Solid Concrete or Masonry Wall height: 8.0' Depth below grade: 6.0' Insulation depth: 8.0' Window 1: Metal Frame:Single Pane Door 1: Solid Floor 1: Slab-On-Grade:Heated Insulation depth: 0.1' 640 17.0 4.0 26 8 0.500 4 20 0.500 10 106 3.0 109 COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, they are attesting that to the best of his/bet knowledge, belief, and professional judgment, such. plans or spe¢ification~ are in compliance with this Code. Builder/Designer ~/~ ~.~:~--~ ~..~ Date CERTIF!CATION OF NAILING & CONNECTIONS ,~.j:{EQUIRED. List of Drawings No. 1 2 3 4 5 6 7 OCCUPANCY OR USE IS UNLAWFUL WITHOUT CERTIFICATE OF OCCUPANCY RETAIN STORM WATER RCi~O~:E PURSUANT 'fO CHAPTER OF THE TOWN CODE. REQUIRED UNDERWRITERS CERTIFICAT~ REQUIRED Title Site Plan Existing Basement Plan Basement Plan Basement Reft. Cig., Elect. & HVAC Plan Interior Elevations Plumbing Riser Diagram & Schedules Details 765-1802 8,'~ ,,~ FOI.LO' lNG ~ FOP,. ,"0'-'~, sD 2. ROUGi4 - c 3, iNSULATION 4, FINAL - C,.!'~ ~ . ~ MUST BE COMPLETE ,3.0. .... "-!*" MEET Ti4E ALL CCNSTfiU-, REQUIR~ME,NTS OF" :~ ,~r~:~ n~ N~t~ ,EePO ,S~B~ E FOR YORK STATE. NOT B .... DESIGN OR CON3TRUCTION E~ORS. [,. DO DEPT ' / Elizabeth Thompson Architect 250 Mercer St. Suite B 806 New York, NY 1~12 212-614-71~ ®© Elizabeth Thompson 250 Mercer St. New Yo~, NY 10012 Arc~hitec;t Suite B 806 212-614-7180 I OP~L~ \~'00~ ~'C)~, Job II~ 7J~ /-~'J~J~U~ ~:::~, Dote, Elizabeth Thompson Architect ~o~u~, ~ 2~ Mercer St. Suite B ~6 ~ ~ole NewYo&, NY ~H~ P~ 1~12 212-614-71~ Elizabeth Thompson . Architect ~LJ'rc.,I.~O~uJf ~ ki~r 250 Mercer St. Suite B 806 Title j~ '~ k~ ~l~r-'L.. ~ ,? Scale New York, NY 10012 212-614-7180 I~pr~.~b d ~vA(.. e'~ I/~t'~l / I Eliznbeth Thom'l~son Architect 250 Mercer St. Suite B 806 Title Scale New York, NY Ibl'T'~"D.4~J~ ~V~.1'1oI,4~ i1,. U~l,_.,..,,j/~ -'-' 10012 212-614-7180 HoP ~u~ ~. ~, ~, Elizabeth Thompson Architect 2~ ~ercer st. Suite B 805 New York, NY 1~]2 212-61~-7180 Job j!~?~ ~"~6~U4 ~--~, Dole Elizabeth Thompson Architect :_.u-F<.p~o6,U ~, ~ ~/~°~ ~ Sc°le ~ 250NewMerceryork, NySt' Suite B ~6 ~fle~ ~ J ~ ~ MO~¢~ 1~12 212-~14-7180