HomeMy WebLinkAbout35993-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
NO: Z-34650
Date: 11/05/10
~]{IS C~i~TIFIBS tbut the building PORCH CONArERSION
Location of Property: 800 BAY¥IEW AVE
(HOUSE NO.) (STREET)
County Tax Map No. 473889 Section 52 Block 5
Subdivision
Filed Map No. Lot No.
GREENPORT
Lot 44
(HAMLET)
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 28, 2010 pursuant to which
Building Permit No. 35993-Z dated NOVEMBER 3, 2010
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 "AS BUILT" PORCH CONVERSION TO UNHEATED SUNROOM AS APPLIED FOR.
· ~ne certificate is issued to CP~AIG P & MIGNON OSMER
( OWNER )
of the aforesaid building.
SuFMOIA~CO~HT~YDBPi%RT~T OF H]~L~{APPRO~-AL N/A
R~-£RICAL CERTIFICATE NO. 35993 10/18/10
~L~Ei~S C~KTIFICATION DA'r~u3 N/A
Rev. 1/81
o ure
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.
35993 Z Date NOVEMBER 3, 2010
Permission is
hereby granted to:
CRAIG P & MIGNON OSMER
800 BAYVIEW AVE
SOUTHOLD,NY 11971
for :
"AS BUILT" PORCH CONVERSION TO UNHEATED SUNROOM AS APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 052
pursuant to application dated OCTOBER
Building Inspector to expire on MAY
800 BAYVIEW AVE GREENPORT
Block 0005 Lot No. 044
28, 2010 and approved by the
3, 2012.
Fee $ 400.00
Rev. 5/8/02
ORIGINAL
~ Form No. 6 ,
~[ III 14 BUILDING DEP~TMENT
TO~ HA~
BLDG. DEPT. APPI :CATION FOR CERTIFICATE OF OCCUP~CY
This application must be filled in by t~ewdter or i~ ~d sub~tted to ~e Building Dep~ment with the following:
A. For new building or new use: ' 1. Final s~ey of propeRy with accurate location of all buil~ngs, propeRy l~es, s~ts, ~d unusual natural or
topo~aphic features.
2. F~al Approval from Heal~ Dept. of wmer supply ~d sewerage-disposal (S-9 fora).
3. Approval of electhcal installation ~om Bo~d of Fire Unde~ffiers.
4. Sworn statement from plumber ceRifying ~at the solder used ~ sysmm contains less ~ 2/10 of 1% lead.
5. Commemial building, industrial buil~ng, multiple residences ~d s~il~ buildings ~d inst~lations, a ceRificate
of Code Compliance from amhitect or engineer responsible for the building.
6. Submit Planning Bo~d Approval of completed site pl~ 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 coffsent 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 $50.00, Additions to dwelling $50.00, Alterations to dwelling $50.00,
Swimming pool $50.00, Accessory building $50.00, Additions to accessory building $50.00, 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: oC~o
House No.
Owner or Owners of Property: /_~ I~-~. !.~3
Suffolk County Tax Map No 1000, Section
Subdivision
Date.
Old or Pre-existing Building: (check one)
Block
Permit No. ~:5 ~ t~ Date of Permit.
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ ~)
Filed Map.
]/-,fl ~ / ff~) Applicant:
Lot:
Underwriters Approval:
Final Certificate: / (check one)
Town Hall Annex
54375 Main Road
P.O. Box 1179
Southold, NY 11971-0959
Telephone (631) 765-1802
Fax (631) 765-9502
ro.qer.richert~town.southold.ny, us
Issued To: Osmer
BUILDING DEPARTMENT
TOWN OF $OUTHOLD
CERTIFICATE OF ELECTRICIAL COMPLIANCE
SITE LOCATION
~,ddress: 800 Bayview Ave
City: Southold St: NY Zip: 11971
9uilding Permit #:~lr-{~ ~-'l ~) a .~,{~ q section:
52 Block: 5 Lot: 44
WAS EXAMINED AND FOUND TO BE IN COMPLIANCE WITH THE NATIONAL ELECTRIC CODE
Contractor: as built ~,)~)._~ .~ .~.~ ~ 5 DBA: License No:
SITE DETAILS
Office Use Only
Residential R Ind°°r ~ Basement ~ Service Only
Commedcal Outdoor 1st Floor Pool
New Renovation 2nd Floor Hot Tub
Addition Survey Attic Garage
INVENTORY
Service 3 ph Hot Water GFCI Recpt Smoke Detectors
Main Panel AJC Condenser Single Recpt Recessed Fixtures CO Detectors
Sub Panel A/C Blower Range Recpt Fluorescent Fixture U Pumps
Transformer Appliances Dryer Recpt Emergency Fixture~ Time Clocks
Disconnect Switches Twist Lock Exit Fixtures ~ TVSS
Other Equipment: ~ well pump
Notes;
Inspector Signature:
Date: Oct 18 2010
81-Cert Electrical Compliance Form
TOWN OF SOUTHOLD BUILDING DEPT.
765-1802
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] IN/~LATION
[ ] FRAMING / STRAPPING [~p']"FINAL
[ ] F,REPLACE & C.,.NEY [ ] .RE SAFETY ,NSPECTION
REMARKS:~~
ROBERT O'BRIEN RE. CONSULTING ENGINEERING SERVICES
2074 MAIN ROAD. P.O BOX 456. LAUREL. NY 11948 631-298-5252
October 26, 2010
OCT 2 8 2010
BLDG. DEPT.
TOWN OF SOUI'HOLO
Town of Southold
Building Department
800 Bayview Avenue
Southold, NY
To Whom It May Concern:
I hereby certify that the five vinyl thermopane slider-type window units installed in
the original screened-in porch at the above-captioned residence are in full compliance
with the New York State Building Code requirements that existed in the year 1995 when
they were installed. The window locations are overlaid on the approved screened-in
porch drawings SK-1 and SK-2 attached.
Atts. 2
Very truly yours,
FOUNDATION (IS'I)
pL~G ,,
~ u~ P~N. Y.
STA~ ~ cODE
~D~ION~ COUNTS
' ~
1012512010 15:01 17183610204
AHERIANVINTAGE PAGE 03
TOWN OF SOUTlfOI,B
BUlB)lNG DEPARTMENT
TOWN H4LL
SOUTHOLD, NY 11971
TEL: (~31)
FAX: (~t31) 76S-9S02
BUILDING PERAIlT APPLICATION CHECKLIST
Bo~d of Ibellh
NYSDEC
INSTRUCTIONS
comply with all ~li~bk laws. ~, ~fld~ ~. ~ ~, ~ ~ ~ ~t
State whethe~
~oe~dtRleofooepomMo~ccr)
Builde~ Li~e~e No.
Plmnbers Li~me No.
Elecu~¢iam Li~me No.
Trades Lice~ No.
1B/2~/201B 15:01 171B361B28~ ~MERI~NVINTAGE PAGE 02
9. $t~ of lot: From .Rear. I)q~ , ,
I 5 e. Is this pmlm~, withth 100 leer of a tidal weflmd ox a ~thwsler w~md? *'YES NO .....
' IF YES, ~U~LD TO~ ~US~ES ~ D.E.C. PE~TS ~Y BE ~QUI~D.
b. Is ~is ~ w~ ~ ~ of I f~ weJ~'? * YES NO
' IF YES, D,E.C. PE~ITS ~Y BE REQUI~D.
16. Provide su~ey, to scale~ with accurate fo~lation pl~ ~ d(~s w ~ H~s.
18. ~o ~m ~y ~v~s ~ ~ wi~ rc~ m t~S ~0~? * YES NO
' IF YES. ~OVIDE A COPY.
STATE OF NEW YORK)
being d~,ly ~,'w~n, ~ and says that (s)he a the ~ml
(N~ of i~ ~ ~m) ~ ~ CONNIE D. BUSH
(S~e u ~ Nota~ P~I~, ~ ~ ~ YO~
~ ~ln ~
of~do~or ~, ~ ~ d~ ~dto~ ~c ~ ~ s~ ~ ~to~ 14, ~1 ~
~ MI ~ ~ m ~ ~on ~t t~ m ~ ~ ~his ~ ~d ~l~f; ~ ~at ~ ~ ~11 ~
SJ~nnmn: of A~plie~m
..... ~ooz
APPROVE D
DATE' ,'? /'~,/] 0
FEE:
NOTIFY BUILDING DEPARTMENT AT
765-1802 8 ~ TO 4 PM FOR THE
FOLLOWING INSPECTIONS:
1. FOUNDATION - T~ REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMING, PLUMBING,
STRAPPING, ELECTRICAL & CAULKING
3. INSU~TION
4 FINAL- CONSTRUCTION & ELECTRICAL
MUST BE COMPLETE FOR CO.
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK
STATE
NOT RESPONSIBLE FOR .~'"~.-~'-~'~--
DESIGN OR CONSTRUCTION ERRORS.
~ .~' ~ ..... '"~r *'