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Home My WebLink About28153-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPA=RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28524 Date: 06/18/02 THIS c~RTIFIES that the building ADDITION Location of Property: 5845 NORTH BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 79 Block 3 Lot 43 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRU~LRY 28, 2002 pursuant to which Building Permit No. 28153-Z dated M3~RCH 8, 2002 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" HOT TUB WITH FENCE TO CODE AND AN ENCLOSED PORCH ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CARL S & BRUNA BUTKOVICH ( OWNER ) of the aforesaid building. suFFOLK COUN~DEPARTMENTOFH~LTHAPPROVAL E~.RC£KIC3%L CERTIFICATE NO. PLUMBERS CERTIFICATION DA'r~u Rev. 1/81 N/A PENDING 06/17/02 N/A Authorized S~ature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUIT~ING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28153 Z Date MARCH 8, 2002 Permission is hereby granted to: CARL S & BRUNA BUTKOVICH PO BOX 1934 SOUTHOLD,NY 11971 for : AN "AS BUILT" ENCLOSED PORCH ADDITION AS APPLIED FOR at premises located at 5845 County Tax Map No. 473889 Section 079 pursuant to application dated FEBRUARY Building Inspector. NORTH BAYVIEW RD SOUTHOLD Block 0003 Lot No. 043 28, 2002 and approved by the Fee $ 300.00 Rev. 2/19/98 ORIGINAL Form No, 6 ]OWN OF SOUTHOLD BUILDING DEPARTMENT 765-1802 ~ '.~ r ......... ....... ~_,~ APPLICATION FOIl CERTIFICATE OlC o(?cuP, SU _ --IT t )l This application must be filled in by typewhter or i~ and subnfitted to the Building Qepamnen~ ~ng: A. For new building or new use: 1. Final su~ey of propeay with accurate location of all buildings, prope~y lines, streets, and unusual natural or topo~"aplhc f~atures. 2. Final Approval fi-om ltealth Dept. of water supply and sexverage-disposal (S-9 form). 3. Approval of electrical installalion kom Board of Fire Underwriters. 4. Sworn statement fi'om plmnber certifying ttmt the solder used in system contains less dmn 2/10 of 1% lead. 5. Commercial building, industrial building, multiple residences and sinfilar buildings and installations, a cedific of Code Compliance kom arclfitect or engineer responsible for the building. 6. Sub~t Plann~g Board Approval of complet~ site pl~ requirements. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land us, 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic fealures. 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate of Occupam is denied, the Building Inspector shall state the reasons therefor in writing to the applicam. Fees . 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.0{ Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.0 2. Certificate of Occupancy'on Pre-existing Building - $100.00 3. Photocopy of Certificate of0ccupancy - $ 0.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 ,,ate. /7- cZ. New Constmoti°n: Location of Propecty:. Owner or Owners ofProperty: ~fqk'L ~ ~ [~.0 ~ ~ ('~ k,'T'(~-O V'i 8uffolk County Tax Map No 1000, Section t_/ 73 8g Block Old or Pre-existing Building: £__ House No. /Street ..~ /o o/~.../-/.cOFiledMap. Date o f Pemfit.'~ ~,~D__ ,~ Applicaut: Underwriters Approval: Final Certificate: Subdivision Pem6tNo. ~ I _q"~ ~-- Health Dept. Approval: Planning Board Approval: Request for: TemporaD, Certificate Feb Sub~nitted: $ (check one) Haml~ Lot OZg3 Lot: (check one) Applicant Signature Mark K. Schwartz, AIA - Architect, PLLC P.O. Box 933 Cutchogue, New York 11935; Phone: (631) 734 - 4185 Fax: (631) 734 -4185 May20,2002 Southold Town BuDding Depa~ tment Main Road Southold, New York 11971 ARm Damon RalHs Re: Butkovich House 5845 North Bayview Road Southold, New York SCTM# 1000-79-03-43 Pe,,dt # 28153 Dear Mr. Ralli.~: In response to you quesl~ons, please review the following: 1. The actual size of the "tub area" of the hot tub is 5'-2 1/2" x 5'-6', (< 6'-0') and therefore not defined as a swimming pool 2. Warren Sambach, PE has calculated that the existing structure is more than adequate for the loads applied by the whirlpool. 3. I have reviewed and discussed the existing conditions with the Four Seasons Sunrooms representative and find the R-factors for the space to be as follows; Roof (R-21.2), Walls (R-20.45), Floor (R-19.9), Glazing and doors (R-4.0). This structure is adequately insulated as per NYS Energy Code (Part 5). 4. The Electrical Underwriters Certificate will be forwarded to your office as soon as possible. I hereby certify the existing conditions of this room, to the best of my knowledge, meet or exceed New York State and local code requirements. Please call this office if you have any questions or require additional information. Very truly yours, Mark Schwartz Butkovich2,doc BY THIS CERTIFICATE OF COMPLIANCE THE ,? t-~ ,:~;'~.' i~ ?'/ NEW YORK BOARD Of FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by CARL BUTKOVICH CARL BUTKOVICH 5845 NORTH BAYVIEW Rd 5845 NORTH BAYVlEW RD SOUTH HOLD N.Y 11971 SOUTHOLD, NY 11971 Located at 5845 NORTH BAYVIEW RD SOUTHOLD, NY 11971 Application Number: 1060118 Certificate Number: 1060118 Section: Block: Lot: Building Permit: BDC: NS11 Described as a Residential occupancy, wherein the premises electrical system consisting electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was found to be in compliance therewith on the lgth Day of June, 2002. Name QTY Rate Rating Circuit Type Additional Charges self contained hot mb and Devices Wiring Disconnect 1 0 60 amp Appliance GFCI Circuit Breaker 1 0 20 amp Pool/Spa seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. I!I I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I Located at ~ Application Number: ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ = = = = = = I I!I~ ~ ~ ~ ~ = ~ ~ ~ = ~ ~ ~ ~ ~ ~ ~ ~ = ~ ~ ~ = ~ ~ ~ = = ~ ~ = = = = ~ ~ ~ ~ ~ ~ ~ ~ ~ iilJE!1iilJE!1iilJE!~1iilJE!~1!I BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET - NEW YORK, NY 10038 "'N, - ?> ; "13 CERTIFIES THAT Upon the application of upon premises owned by RJ. CORAlZINI ELECTRIC 320 RICHMOND LANE PECONIC, NY 11958, JOHN GARDNER 5845 NORTH BAYVIEW RD SOUTHOLD, NY 11971 5845 NORTH BAYVIEW RD SOUTH OLD. NY 11971 3022970 Certificate Number: 3022970 Section: Block: Lot: Building Permit: ~1153 BDC: ns11 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: C/O Basement, service only, Outside, t?l ~ 5 ;;.. t.f A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 6th Day of February, 2007. Name OTY Rate Ratinll Circuit ~ Service 1 Phase 3 W Service Rating 200 Amperes Service Disconnect: Meters: 1 200 cb seal 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. a u a a BUILDING PERMIT EXAMINER CHECK LIST DATE REVmWED: /.5//0l._ .DATE SUBMITTED: 2. /2~/0L SCTM# DISTRICT: 1,000 SECTION: -~ BLOCK: ,~ LOT: f'-S STREET: f,~6¥ ff ?,~/VlCW ~ C~Y:~ PRO~CTDESC~TION: ~ ~o,,r ~ .~O,~o~ ~C~ECT / ENG~ER:, ~e ~~ FAST T~CK? __ SUBDIV. NAME: SINGLE & SEPARATE CERTIFICATION-REQUIRED? '~'a NOTES: LOTS 40,000SF -100-24. Lot recognifion.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN. 1997 100-25. Merger.(A nonconforming at any time after 7/1/83) ZONING DISTRICT: ~- ~ CONFORMING? ,4/. ,/ REQ. LOT SIZE ~', ,o ~ ACT. LOT SIZE: . REQ. LOT COV. PROP. FRONT /" REQ SIDE PROP. REAR ~'5 ?xt/o /DESCRIPTION: FLOOD ZONE: Z3 , ACT. LOT COV. ACT. SIDE REQ. FRONT REQ. REAR WATER FRONT9 PANEL #: :~ AGENCY PERMITS REQUIRED FOR REVIEW APPR~V,~LS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES or~, (BED #): DTE:__/__/__ PERMIT #:RI0- NEW YORK STATE DEC: PR~4)EC 9aris YES or SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YESor TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or NYS ENERGY: YES OReO): __ EGRESS (18 H min ? 4 sq total) ~ VENT (SQ o LIGHT S ~T x-8% NOTES: ' - ' / ' FEE STRUCTI3RE: FOUNDATION: SF FIRST FLOOR : SF SECOND FLR : SF TOTAL: ~/? SF 'OT( ~'/-7~ SE)- ( SE)= SE X $ =$ INIT OTHER TOTAL FEE FEE ¢~E +$ +$ = $ ~o x' Z 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ .] I~_LATION [ ] FRAMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY REMARK~~~~ -- 765-t~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ]IN_~__ATION [ ] FRAMING ~- [/~ FINAL [ ] FIREPLACE & CHIMNEY REM RKS: ~ .~ DATE ~/~~//~ ~ IN~ ~'n~,r, ~S~'~CT~ON m~'ORX I DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH F~G & PL~G STA~ E~RGY CODE BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 Examined Approved Disapproved a/c., , :20' "Z---- PERMIT NO. ~ HUII:DIiNLi PI:K.MII AI"PLICA'I'IDN CHECICLI,~ Do gou have or need the following, before apptyin Board of Health 3 seB of Building Plans Survey. Cheek Se?tic Form N,Y.S.D.E.C. Trttstees Co-t,¢t: i Mail to: ,PPLICATION FOR BUILDING PERMIT Phone: , Date 20 O~ INSTRUCTIONS ' ' i a. This application MUST be completely filled in by {ypewriter or in ink andi~ submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to s.etiedule. b. Plot plan showing location of lot and of building.* n premises, relatmnsh~p 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 las'pector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection througho.ut'the work. ~ e. No building shall be occupied or used in whole or 'm part for any purpose What-so-ever until a Certificate of 0ccupan is issued by the Building Inspector. , Buildin~A~oPnLelC~_AnTJ?_N_JS_~_ ~P~ y ,N/~ E..to ,~e~Bu.i. ld. mg~D. epal~nent for the issuance cfa Building Permit pursuant to the · ~ c ~,*umancc oime low'n ol;~oumola, 5UllOllCUounty, New York, and other applicable Laws, Ordinances or aR-;v~/~;2s~., ef~r t,h_e_c_.o__n_s,_t~. __~_.t/.,0n ,o/bui!.dm. gs., ,addztmn~,: or a:lterati.o, ns. or for ,emova~ or d~znolifion as hm'e/n described. The vv ~ ~ tu ;umpty w~m au appllcaole daws, oramances, bmlding code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.: {$i~att~ of~plie'am or name, ff a corporaUon) (Ivlailing address of applicator) State whether applicant is owner, lessee, agent, arcb_itect, engineer, general con~ctor, electrician, plumber or builder Nameofownerofpi-emises e~.r/+ gro. . (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. Plumbers License N~. Electricians License No. Other Trade's License No. Location of land on which proposed work will b~ done: House Number CStreet County Tax Map No. 1000 Section Subdivision (Name) Hamlet · 'Block O15 I Filed Map No. j Lot, Lot ""'"'~ ~^'o,~,1~ ,,.~%~u o~-paacy ot premises anti ~ntended use and occupancy of proPosed a. Existing use and occupancy ~~ onstrucfion:, b. Intended use and occupancy~ L Nature of work {check which applicable): New Building_ Addition Repair Removal Demolition Other Work i. Estimated Cost ~'~/_~'O O Fee ; If dwelling, number of dwelling unit~. If garage, number of cars I ,. If business, commercial or mixed occupancy, specify nature and extent of each type ofuse. ' Dimensions of existing structures, if any: Front Rear Height Number of Stories Depth Dimensions of same structure wit~ alterations or additions: Front Rear Depth Hei~lht. Number of Stories ' Dimensions of entire new construction: Front Rear Height N0mber of Stories Depth , Alteration (Description) (to be paid on filing this application) Number of dwelling units on each floor Will excess fill be removed from premises: YES NO Address :ff~&t~,-'. D,lb~, t/,et.o .°.?Phone No. 7~ ~ 3 lO Address_. Phone No Address Phone No. '. Size of lot: Front ~'~z ,~r~,_~.l. [ Rear Depth O. Date of Purchase_. _~/1~/~ Name of Former Owner 1. Zone or use district in which premise~ are situated. ~-5/e~ · 2. Does proposed 9onstructi0n violate any zoning law, ordinance or regulation: 3. Will lot be re-graded_ )O0 4. Names of Owner of premises t2, g~-p,~ Name of Architect Name of Contractor 5. Is this p:op;rty within 100 feet of a tic[al wetland? *YES NO YES, $OUTHOLD ToWN TRUSTEES P~RMITS MAY BE RE(~UIRED 6. Provide survey, to scale, with accurati foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK). SS: :OUNTY OF ) (Name of individual signing contract) above named,being duly sworn, deposes and says that (s)he is the applicant ~)He is the ~ tractor, ~gent, Corporate Officer, etc.) ,at all t '~ ~?a~a-'u~°' 'r~z" f-d-t-0 P~eff-°~rm :°r 'hav.e Pr?' ° ,treed ,the-said w°rk and t° make =d file this a 1/ca Pla-uauon are true to me Oest oliais ~:nowied-e ~--~ ,--,' .' . . _ PP tlon; erformed in the manner set forth in the application filed therewith. . ,~,,~ oenex; aha that the work will be worn to before me this ~ Notar~Public ' ] " UNDA J. COOPER N~ary Public, State of New York r,o. 4822563, Suffolk Ceun~ ~ Term Expires December 3~c:r~ //'~t/ Sxgl~tm-e of/Appheant L L g~NT ~V: ~OU~ ~E&9ONg gUNRO0~; 6~t 244 0~12; JAN-~t-02 ~t:~§AM; FA~ 6/t6