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HomeMy WebLinkAbout28365-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28455 Date: 05/22/02 THIS CERTIFIES that the building ADDITIONS Location of Property: 1795 PIPES NECK RD GREENPORT (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 53 Block 1 Lot 14 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2002 pursuant to which Building Permit No. 28365-Z dated MAY 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 DORMER ADDITIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN ECKARDT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. H4142 01/21/99 PLUMBERS CERTIFICATION DATED 03/20/02 ROBERT VAN ETTON y Auth&5ized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28365 Z Date MAY 8 , 2002 Permission is hereby granted to: JOHN ECKARDT 1795 PIPES NECK RD GREENPORT,NY 11944 for CONSTRUCTION OF A SECOND FLOOR SHED DORMER AND DOGHOUSE DORMERS AS APPLIED FOR. THIS PERMIT IS A RENEWAL OF PERMIT # 24863Z at premises located at 1795 PIPES NECK RD GREENPORT County Tax Map No. 473889 Section 053 Block 0001 Lot No. 014 pursuant to application dated MAY 8, 2002 and approved by the Building Inspector. Fee $ 150 . 00 h riz d COPY Rev. 2/19/98 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 24863 Z Date MAY 11, 1998 Permission is hereby granted to: JOHN ECKARDT 1795 PIPES NECK RD GREENPORT,NY 11944 for CONSTRUCTION OF A SECOND FLOOR SHED DORMER ADDITION AND DOGHOUSE DORMERS AS APPLIED FOR. at premises located at 1795 PIPES NECK RD GREENPORT County Tax Map No. 473889 Section 053 Block 0001 Lot No. 014 pursuant to application dated MARCH 34 1998 and approved by the Building Inspector. Fee $ 175 . 00 Building qnspectot ORIGINAL 2ev. 2/19/98 ` __C Form No.6 ...r�_ (ti .(r'._�_.n fir, r `—� LVY) TOWN OF SO* n tt H-OL1) . ._ E �� BUILDING DEPARTMENT 62002 _ TOWN HAL �-� 765-1802 APPLICATION FOR CERTIFICIT-E OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the following: 1 le 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 a 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 Date. 5/16/02 New Construction: x Old or Pre-existing Building: (check one) Location of Property: 1795 Pines Neck Rd Greenport House No. Street Hamlet Owner or Owners of Property: ECKARDT Suffolk County Tax Map No 1000, Section 53 Block 1 Lot 14 Subdivision Filed Map. Lot: Permit No. 28365 Date of Permit. 5/8/02 Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: a (check one) Fee Submitted: $ 25.00 4c-- (C W")(.((3 Applicant Signature ELECTRICAL INSPECTION SERVICE INC. 375 DUNTONAVENUE EAST PATCHOGUE,NEW YORK 11772 (516)286-6642 114142 DATE: 1121/99 APPLICATION No.ON FILE VILLAGE, Greenport TOWN: Southold ADDRESS: 1795 Pine's Neck Rd ISSUED TO: John Echardt INTRODUCEDBY.: Above LICNo: was examined on 1/20199 and found to be in compliance with the National Electrical Code LOCATION: Base.. I st 2nd XS 3rd Attic Det.Garage Hot Tub Pool SWITCHES RECEPTACLES I FIXTURES HEATERS FANS G.F.I. AIR.COND. 13 19 4 1 1 DISHWASHER DRYER CLOTHES WASH. GAR.DISP. RANGE OVEN SMOKEDETECTOR 4 FURNACE OIL GAS CIR MOTORS BELL TRAN SERVICEDISCONNECT METER AMPS PHASE OTHER EQUIPMENT MADE O TSE EX EQUIPMENT IN THE PREMISES NU Ya5!lAI.DEffCxS FOUND 15-- GO S. SURDI SIDENT BUILDING PERMIT No. This certificate mast not be altered many manse LWertm may be identified by flier aedwtiab BLUE ORIGINAL YELLOW COPY PINK COPY OFFICE TEL. 765-1802 S�FFOLIr TOWN OF SOUTHOLD �O < OFFICE OF BUILDING INSPECTOR =o P.O. BOX 728 , v' yr TOWN HALL SOUTHOLD, N.Y. 11971 MAY 6 2002 C E R T I F I C A T I O N Date I• ` � �d 1 0 n Building Permit No. �y Owner J-4DA, � Ec kkyd- (please print) ��/� ,,, Plumber RQ6tw+ V0-V1E4+.,n (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (plumber 's signature) Sworn to before me his AD -q�day of � Q nS�R• Notary Public Notary Public, County JANET E.STAPLES Notary Public,Stc'a dNaw Yoh No.48319Z Sabo&County Cloaraal oE*"July31,20Q� APPLICATION #_ PAGE 1 of 4 TOWN OF SOUTHOLD FLOODPLAIN DEVELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1• GENERAL PROVISIONS (APPLICANT to read and sign): 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL 5TATEMENTHEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO -70 THE OF MY D E, TRUE AND ACCURATE. (APPLICANT'S SIGNATURE) it DATE SECTION 2: PROPOSED DEVEL PMENT T e com feted by APPLICANT) NAME ADDRESS TELEPHONE APPLICANT BUILDER ENGINEER PROJECT LOCATION: To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. FDP(93) COMPLAINT REPORT 1C(AM M (e-t-C9, '0J r9eWW_ DATE ADDRESS at PES ckee PHONE# HOW RECEIVED, TEL MAIL IN PERSON—/ LOCATION OF II Q� COMPLAINT l 9 L .PSS 1 `.ec NATURE OF COMPLAINT -(xG �P 6d LD C Ross �� e Ef 7 OP U/& 0 F 6i - 9 � ( ASSIGNED TO INSP. DATE REMARKS ACTION TAKEN FILE # (IF APPLICABLE) RE-INSP DATE Albert J.Krupski, President �QOFF042 Town Hall James King,Vice-President h�0 Q'y 53095 Main Road Henry P.O.Box 1179 Smith o= Southold,New York 11971 Artie Foster on Z Ken Poliwoda O Telephone(516) 765-1892 y�►�l �a0� Fax(516)765-1823 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD March 16, 1998 John T. Eckarit 1795 Pipes Neck Road Greenport NY 11944 RE: SCTM #53-1-14 Dear Mr. Eckardt, The Southold Town Board of Trustees reviewed your survey dated and received in our office on March 11, 1998 and found that the proposed construction of a dormer on an existing house is out of the Wetlands jurisdiction under Chapter 97 of the Wetland Code. However, this determination is not a determination from any other agency. If you have any further questions, please do not hesitate to call. Sincerely, aM4A./ 9. Albert J. Krupski, Jr. President, Board of Trustees cc. Bldg. Dept. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOU DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 'tet- - DATE INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: �ro(CP 2k- --16� DATE �9 J�'� INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] "INSULATION H PLBG. [ ] FOUNDATION 2ND [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE dJ INSPECTOR a f�c 3 t� 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1SOLATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 14 D 1 Ar 01 if 9:j ot 0 DATE INSPECTO < 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ VTIFINAL��� [ ] FIREPLACE & CHIMNEY REMARKS: r DATE INSPECTOR PCC-:U;+ I�llni� �I COMMENTS pv m H FOUNDATION ( 1st ) - c (n b FOUNDATION ( 2nd ) — m 2 . - z o l• � ROUGH FRAME & -PLUMBING � y � ?7 3 . m m INSULATION PER N . Y. r" 71.70 vge (41 STATE ENERGY CODE s a cl FINAL C, z ADDITIONAL COMMENTS : x C /)-() J t'Wo Z 6.1r7p a rzl x H \ S 9 � O ^Q METER: z POOL: ROUGH: — • x A.C. UNIT OIL BURNER INSPECTORS NAME: z ' APPLICATION#: INSP. y TF,AM- QAAA,-k- BOARD OF UEALTfl ,y• • • . • • • . . . FORM NO. 1 3 SETS 0!/PLANS /- . . . . . . . • • • • TOWN SOUT OLD TEP BUILDINGFDEPARiTMENT CDECR�j. .l.�'.�. . . . . . . . . . . . . . . . . . . TOWN HALL SEPTIC FORM . . . . . . . . . . . . . . n L SOUTHOLD, N.Y. 11971 / TEL: 765-1802 NOTIFY:Z/ BLDG.DEPT. , 4CALL !• •7� . . . . . . . . . . TQWNF . . . . . . . . . . . . . . _ Q MALT. TO: . . . . 1'sxanined. 19 9S! ............... /.I...., 56. Approved....... Permit No. .......... Disapproved a/c ........... (Building Ins tor) APPLICATION FOR BUILDING PERMIT Date. l - • •Ll + 19.�� INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink Axl sidmitted to the lAiilding inspector wi 3 sets of plana, accurate plot plan to scale. Fee according to schedule. premises b. Plot plan sixrwing locatdieta11ec11deacot AriPCia of layouof buildings tnoE property mistime clra�m an tl,ehip to ndiagran wlchois pirt`of streets or areas, and giving this application. c. The work covered by this application may not be conrnenced before issuance of Building Penin t. d. Upon approval of this appl.icatian, the Building inspector will, issue a Building Permit to the applicant. Shhclh permit small be.kept on the premises available for inspection throughout the work whatever until a Certificate of e. No building shall be occupied or used in whole or in part for any purpose Occupancy shall have been granted by the Building inspector. APPi.1CKfl(N IS ligl M KAW to the wilding Department for the iisYsuanceof a Building Permit cable laws,pursuant tOrdito theces or Building Zone Ordinance of the Town of Saithold, Suffolk County, as herein Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, described. The applicant agrees to comply w 1 with all applicable laws, ordinances, building code, housing code, and regulations oaad to admit authorized inspectors on premises and in building fo necessary in tions. ............... %• nature of•applicant, or name, if a corporation) .../ ....... PG , (Mailing sa of applicant) State wbedher applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plinber or buil" ........................................................................................ i ........................ Name of owner of premises ..v �.•.............. (as on the tax roll or latest deed) if applicant is a corporation, signature of duly suthorized officer. ......................................................... (Name and title of corporate officer) Builders License No. ......................... Plnnbers License No. ......................... Electricians License No. ..................... Other Trade's License No. .................... 1. 1,ocation of land on which proposed work will be dcx,e.............•.Uv .. .............................. � S �,,��, U .. ............... ekk ............... .. hamlet Ilouse limber Street County Tax Map No. 1000 Section '�............ Block ....01....•••. 110t ....� ...•.... Subdivision ...................................... Filed Map No. .........I..... int ............... (Name) of ices and inteAle� occupancy of proposed construction: 2. State existing use and occupancy' ?/?�' �1 t vice1.................................... a. Existing use and occupancy .... // ................. b. Intended use and occupancy ... ...................................../ 94yawMb�Yh►t«e4 eV—*g1'"5&J A t0.04 WOM4D AOUZ�Mi$04W �.�.�,_...��.. .1: BBC1 tll7gia_+IiU�J•h vh'"� ✓ _.._ 3. N�uture Of work (check witidr applicable). New Building 1� . Repair ....... n8 Addition .... Removal 1)enolttion ........ isrt .......... .... Other Work ,.,,, .......... // i 4. EsLiurste<I CosA. vUu f.................. fee Lo be laid or tiling this lsPl cal' 1�1 J 7s a 5- If tAwel t is �T r13, nxuber of dwelling units tinber of tkoelIing (units on eadi. ....... .... ................ if garage, umber of cars ... ... ............................... 6. If Ixasinress, ecm:ercial or mixed'occupancy, specify naluuJre aril extent of eaell type of use...... .IVO 7. Dimenaiors of existing stnrctures, If any: Front...;`, ` a ']� Rear ..... ......... [leptlu Ik ig► DO. 3............... uL Nnluer of Stories .....41 .............. Dimensions of sere a nucture with alterations or additions: ' Front .../A Depth .....f :..l �..... Iteiglul' ......�-:.. 1 ... Rear .../.� ........ .... Nnber of Stories .......... 8. Dimensions of entire new construction-. Front ....Id // ��........ Rear ..l ......... Depth neigiut ... Nober of StorIea 9. Size of lot: Dont ....... Rear .............. h IO. Nate of Rurduase ..................... Nacre of Former Owner .... .............................. 11. Zone or use district in uhidn premises are situated12. ..... .......................... ............................... Does proposed construction violate any zoning law, ordinance or regulation: ......R/Q, .. ............ 3. Will lot be regraded ,,,,,/J v........... will excess fill be removed from premises: Yds 14. Nares of Owner of premises ............... Nance of Ard1I[ect ........ ......... Address ........... ...... N:rre of Contractor ................................... Address ... Pierre No. ............. ....................... IS. is this property within 300 feet,of a tidal wetland? * YES .., *IF YES, S(1 "]ID 701,N 717U MES PlilHIT MAY RE Rc(XIIRID. FU .......... ,•See L��e� PLOT DIAGRAM - locate clearly and distinctly all buildings, ulnether existing or proposed, and Indicate all set-back dimensions frtnn property lines. Give street and block ruuuber or description according to deed, and allow atreet mares and indicate nduether interior or comer lot. SI'A'Ili OI' NIIVMI ti)t1N1Y (A ...... ( .... SS r(l�...behq; duly sworn, deposes alxl says Llrll' he is llue appl.ic�unl: (Naze Of iuxlivi(11al signing contract) above 1xmuled, lie is the ... ..... ...................... (Conrtractor, agent -corporate office..r, Of said owner or owners, and Is duly authorized to perform or (lave performed the said work and to nuke and file this apps icaLian; LhaL all statements contained in this application are tnle to the best of Ilia luxxwledge and belief; and that the work will be performed in the nmamler set forth in Lhe appl.icaLion filed therewith. 9wurn to bef r lie this .. (lay .::•••\Y(. ..19.. �. Notary IN IIOUIyF L g14-1Lure of Applicant) Oonurliplan 0,a.0. ( d �Oa i O �1 Tp C 00�J\ Se_ dOrvtierS . �_ .•-•� �r j PROVIDE OPENINGS FOR EMERGENCY ESCAPE AS nv REQUIRED BY PARI. 7 14 OF N.Y. STATE BUILDING CODE. nt-jo.+Ion, Ll 41 IT IS A VIOLATION OF THE LAW FOR ANY PERSON, a\ �\ UNLESS ACTING UNDER THE �- DIRECTION OF A LICENSED \ ALTER ANY ITEM ON THDRAWING IN ANYWAY. A.N,'AIUTHORIZED ALTERATIOFI MUST BE NOT ED,SEALED.AND DESCRIBED IN CCURDANCE WITH THE LAW. 1 (ZED AqO�/ -"6341 O�1 f \ �O=N E* MAY 5 1998 , ►tel 0-c— t 17 I _ IT A�OLkTIOE SC THE L 6,yo UNLESS AC,(INCUNDER THE O Z C AFCJLlIT I rk'-T`ER ANY i ITS ,C 7 I '11NO IN * AN'6� ' j ;J91ZED I q ALTe .I c',UoT BE ELED.AND DESCRI u J IN ACCORDANCE .. 16341 Ot�� WITH THE LAW. OF NEW ..s V MAY 5 mop up f,e 3 �ofrer boo. ds j L4 Q, � 1 `IVB v1nUl� p.1 ... rkdow O � i V � IT IS A VIOLATION OF THE LAW FOR ANY PERSON, UNLESS ACTING L';lDLR THE DIRECTION C=A L'r;EP 1:CD ARCHrrCC' -5 d iY ANY W'::'. . !HITED - WITH THE L.N. -_-- -- - MAY 5 1998 G\S�ERED qA,�,y' �i.tii-E S i<- 4 E' V G`�i O b'� ,• � ,�a,gijt + SCale 6341 OSE' O NEW i 0, 142 VI- C, S ✓�f n''' '� ry Yrfp 4 "-e5 �y e✓<ry nn CO 67 2 - 36 //,//� A+,'ems, barre(r• l7 lea f T \ I ! 1. \ ��tnrfiCG✓ 2 �� aZY ��c ��9� �• C . eK�S4 rv � C'GJie�� y� -cc, ( \ j S e ue� � rclsnwoume^aoFTF+E 1 LAW V i ALM A�_,wANCE WITH TriE LAW. MAY 5 1998 Y S LA, b ERED A)? • �tvv��R1 I. gRQ ��.� %P 16341 �QF NEYJ�O x - F • - c j n - PLUMBER CERTIFICATION AS N=D � ON LEAD CONTENT BEFORE �' 8' &S A CERTIFICATE OF OCCUPANCY ;z_ Fm a W. d OL� F �N CATER 2 N'v W 11 NNMO DEPA E AT ?a6.1>IIIM f AM TO 4 PM FOR HE SUPP � � #, ' L`AJlIOT FiOL10MM18 MilRCTgNB: '`: EX ,_ ';� p EAL1. 1 l�OtN101�Q�ON • rM0 REGUIRED . CES i� �7 I IIOUaI • PA Cl G PLUMBING :+ : _. 1m 4. FINAL • CONSTRUCTION MUST BE COMPLETE FOR C.O. r ALL CONSTRUCTION SHALL MEET r r THE REQUIREMENTS OF THE N.Y. ' PLUMBING STATE CONSTRUCTION & ENERGY ALL PLUMBING WASTE CODES. NOT RESPONSIBLE FOR *4 &WATER LINES NEED DESIGN OR CONSTRUCTION ERRJiR TESTING BEFORE COVERING : If copper tubing is used �� ak F .. for water distributing 1 � �% n system; piping shall beI .PROVIDE SMOKE-DETECTINGof types K or L only UIS ' UNI � Ur, ALARM DEVICES AS TO PART. 721.1 UNDERWRITERS CERTIFICATE REQUIRED VI'ITHOUT CLERTIARDAIL_ XXS BUILDING CODE. u C P K . KNO"" UNDERWRITERS CERTIFICATE _ PROVIDE ANTI-SCALD AND/OR REQUIRED '1. x {{ {j THERMAL SHOCK PREVENTING ( t ! DEVICES AS TO PART. 902.6(K) I N.Y.STATE BUILDING CODE. PROVIDE OPENINGS FOR S s { _ EMERGENCY ESCAPE AS _1 I REQUIRED BY PART. 714 OF I ' N.Y. STATE BUILDING CODE:. a i j t : a 3 I d, i — _ W{� .._ _., I� � I i i � E e�• -,�._ � ...... --'� �:. f_ ;. � : _. ,- --'�"'. ..> � .� .-! / r7 �'•�' .f#�� �I"f�v�'t fry x { _.., i ITISAVIOLATIONOFTHE ANY PE SON. m RED .4 i _ _--- - -- mc SS ACTS �UNDER THE T Cy/ . . _` +^" D., TIS. i LICENSED TE9 ANY AIMING INd. . ,r;vaiZED F fi: V zs I ` NO ' SErALED.AND t $ y ;- } DESCRK1 EJ IN ACCORDANCE WITH THE LAW. ��q .1 `� '. f N E MAY IQng , STS i