HomeMy WebLinkAbout28749-ZFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29074
Date: 11/12/02
TI{IS CERTIFIES that the building ALTERATIONS
Location of Property: 480 SOUNDVIEW AVE PECONIC
(HOUSE NO. ) (STREET) (HAMLET)
County Tax ~4ap No. 473889 Section 74 Block 2 Lot 7
Sutxtivision Filed Map No. __ Lot No. __
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 10, 2002 pursuant to which
Building Per,tit No. 28749-Z dated SEPTEMBER 17, 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" ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED
FOR.
The certificate is issued to GLENN S FEAVEL
of the aforesaid building.
(OWNER)
SI/FFOLKCOUIF15fDEPARTMENTOF~R~JuT~APPRO%rJkL
ELE~-£~ICAL CERTIFICATE NO.
PLL~4BERS C~{RTIFICATION D~r~3
1077694
10/25/02 JOHN DINIZIO
09/11/02
Signature
Rev. 1/81
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. 28749 Z
Date SEPTEMBER 17, 2002
Permission is hereby granted to:
GLENN S FEAVEL
PO BOX 1162
SOUTHOLD,NY 11971
for :
AS BUILT ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS
APPLIED FOR
at premises located at
County Tax Map No. 473889 Section 074
pursuant to application dated AUGUST
Building Inspector to expire on MARCH
Fee $ 300.00
480 'SOUNDVIEW AVE PECONIC
Block 0002 Lot No. 007
10, 2002 and approved by the
17, 2004.
Rev. 5/8/02
COPY
Form No. 6
TOVCN 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: 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.
Bo
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. Ifa Certificate of Occupancy
is denied, the Building Inspector shall state the reasons therefor in writing to the applicant.
Co
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
New Construction: ~
Location of Property:
House No.
Owner or Owners of Property:
Date.
Old or Pre-existing Building:
Street
Suffolk County Tax Map No 1000, Section
Subdivision ~¢O~e~ .~t_~-~
Permit No. ~ ~ '7~/~_ 7_. Date of Permit.
Block
Filed Map.
Applicant:
(check one)
Hamlet
O ~l. Lot
:~{ Lot:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $
Underwriters Approval:
Final Certificate:
(check one)
Al'[5~ h~nnt S~g~ature
Town Hall, 53095 Main Road
P.O. Box 1179
Southold, New York 11971-0959
Fax (631) 765-9502
Telephone (631) 765-1802
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Building Permit No.
Owner:
Plumber:
(please print)
(.please print)
Date:
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
Sworn to before me this ~ ~
dayof ~ '-,20 ~J"~
Notary Public~'2~/fq~''~ County
CLAIRE g GLEW
Notary Public, State of New York
No. 01 GL4879505
Qualified in Suffolk
Commission Expires Dec.
~'~ ~//(~s Signature)
BY THIS CERTIFICATE OF COMPLIANCE THE
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
JAMES MURRAY GLEN FEAVEL
P.O. BOX 305 480 SOUNDVlEW AVENUE
LAUREL, NY 11948, PECONIC, NY 11958 Fa
Located at 480 SOUNDViEW AVENUE PECONIC, NY 11958 Fa
Application Number: 1077694 Certificate Number: 1077694 ~
Section: Block: Lot: Building Permit: BDC: NS11 Fa
Described as a Residential occupancy, wherein the premises electrical system consisting of
electrical devices and wiring, described below, located in/on the premises at:
Second 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 llth Day of September, 2002.
Name QTY Rate Rating Circuit Type
Alarm and Emergency Equipment
Sensor 1 Carbon Monoxide
Sensor 3 Smoke
Appliances and Accessories
Exhaust Fan 1 F.H.P.
Wiring and Devices
Outlet 5 Fixture ~
Receptacle 21 General Purpose ~
Switch 12 General Purpose
Fixture 5 Incandescent ~
Receptacle 1 GFCI i
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.
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION I ST
[ ] FOUNDATION 2ND
[ ] FRAMING
[ ] ROUGH PLBG.
[ ] IN. ION
[/./I FINAL
[]FIREPLACE&CHIMNEY
REMARKS: ~/~/-~½ ~
DATE.
INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION2ND [ ] IN~ILATION
[ ] FRAMING [ ~ FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS: ~
FIELD INSPECTION REPORT DATE COMMENT~
FOUNDATION Os~)
FO~A~ON (2~)
ROUGH ~G &
PL~G
~S~A~ON P~R N. Y.
~TA~ ENERGY CODE .
5
~D~ON~ COUNTS
TOWN OF SOUTHOLD '
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, NY 11971
TEL: (631) 265-1802
FAX: (631) 765-9502
Examined [ ,20
Approved ~/'l'~ ,20 ~
Disapproved a~c
BUILDING PERMIT APPLICATIO¥ CHECKLIST
Do you have or need the ~ll~)wing, before applying?
Board of Health
3 sets of Building plan~
Planning Board approval
Survey.
Check
Septic Form
N.Y.S.D.E.C.
Trustees
Contact: [~a~,~
Mail to: PO
~.~ ~ ~?: 2~)~ Z:2~J::~ :ii !,g~PPLICATION FOR BUmD~G PE~T
~(~ ~u ~ ~ ~STRUCTIONS
letely filled ~ by ~ewhter or ~ ~ ~d subdued to~
sets of pl~f~-~l~ pl~ to scale. Fee according to scheme.
b. Plot pl~ show~g location of lot ~d of b~Id~gs on pr~ses, relatio~hp to adjoining pr~ses or public s~e~s or
~eas, ~d wate~ays.
c. ~e work cov~ by ~s application ~y not be commenc~ before iss~ce ofB~g P~t.
d. Upon approval offs application, the B~lding Imp~tor will issue a B~g P~t to ~e apphc~t. Su~ a p~t
shall be k~t on the pr~ses av~lable for ~pection ~ou~out ~e work.
e. No buil~g sMll be occupi~ or us~ ~ whole or ~ p~ for ~y p~ose w~t so ever ~til ~e B~l~g Inspector
issues a Ceflificate of Occup~cy.
f. Eve~ buil~g pe~t shall expke if~e work au~o~ ~ not comme~c~ wi~ 12 mon~ ~er ~e ~te of
iss~ce or has not been completed ~ 18 mon~ ~om such ~te. If no zoning m~ts or o~er relations aff~t~g ~e
prope~y ~ve been emct~ ~ ~e ~t~, ~e B~l~g ~p~tor ~y auto.e, ~ ~g, ~e ext~ion of~e pe~t for ~
addition six mon~. ~erea~er, a new pe~t s~ be r~uked.
~PLICATION IS ~BY M~E to ~e B~l~g D~t for ~e iss~ce ora B~ding P~t p~s~t to ~e
Buil~g Zone ~d~ce of the Town of Son.old, S~fo~ Cowry, New Yor~ ~d o~ applicable Laws, Or~ces or
Relation, for ~e construction ofb~ld~gs, ad~tio~, or ~teratio~ or for remov~ or d~olition as h~e~ describe. ~e
applic~t a~ees to comply with ~l applicable laws, or~ces, b~g code, hous~g ~de, ~d re~atiom, ~d to a~it
'(Si~ of apphc~t or ~e, ff a co~orafion)
State whe~ applic~t is owns, lessee, agent, ~c en~nc~, gener~ con.actor, elec~ci~, plmb~ or b~ld~
N~e of o~ of premises ~~ a-rely n
// (As on ~e t~ roll or latest d~)
If applic~t is a co~oration, si~f duly au~o~ offic~
(Name and title of corporate officer)
Builders License No.
Plumbers License No.
Electricians License No.
Other Trade's License No.
Location of land on which proposed work will be done:
House Nmber S~eet H~I~
Co~ T~ Map No. 1000 Section
Subdihsion P~n~ ~; 5~t~n ~ Filed Map No. ~": ~t:~'~ q7
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
Repair Removal Demolition
4. Estimated Cost
5. If dwelling, number of dwelling units !
If garage, number of cars
Addition ~ Alteration
Other Work I:',,~a. ~."A'~l~a~,: tlt~'q~Sl,,t~_.
(Description)
Fee __~ o
(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 Rear Depth
Height Number of Stories
Dimensions of same structure with alterations or additions: Front
Depth Height Number of Stories
Rear
8. Dimensions of entire new construction: Front Rear
Height Number of Stodes
9. Size of lot: Front ~e~ ~¢Lt~ Rear Depth
Depth
10. Date of Purchase
Name of Former Owner
11. Zone or use district in which premises are situated ..... ~..S,,
12. Does proposed construction violate any zoning law, ordinance or regulation? YES__
13. Will lot be re-graded? YES__ NO Will excess fill be removed from premises? YES__
14. Names of Owner of premises G~t,~ 4~tl? [-~l~t[~ddress l~4e~c ;l. J5/, Phone No.
Name of Architect Address Phone No
Name of Contractor Address Phone No.
NO
J/a
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.
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, deposes and says that (s)he is the applicant
(Name of individual signing contract) 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 make and file this application;
that all statements contained in this application are true 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
t . day of~~g~
~/ Notary PUBLICOA M. BoHN
No'rAR¥ PUBLIC, 8tare of New
No. 01806020932
Qualified In Suffolk Count~_
Term Expires March 8, 20~
~gttmtt~of Applicant
LOT
FORI
elevatiqD
34"
ALL
THE
CODE
Peconic Homes, Section Two
· ;:. , .~.-.~.:,.,,,
, Lot 47 "
~00-74-02-07
.
les-lao~ I ~a TO 4 ~~ 7 Hse- 10 tread
1, ~OU~ lO~lOI - ~ 7'6 7'6
~ist
footing
tie j2- 2x8 stringers
-- 7'6
decking
hanger []
~ 7'6 ~- 7'6
22'6
elevation:
//32"
House
OCCUPANCY OR
USE IS UNLAWFUL
W~T~'~OUT CERTIFICATE
OF OCCUPANCY
~ -5/4x6 cap
-"------2x4 top rail
Railing around entire deck and
both sides of steps - 32.5" high
_-------2x2 balasters 7" oc
4x4 terminal post
Ix4 rail
8~5 --
16'
10'2--
PROFESSIONAL ENGINEER
1725 HOBART ROAD / PO Box 616, SOUTHOLD, NEW YORK 11971
TEL631-765-2954. FAX631-614-3516 · e-mail: joseph~ftschetti.com
Southold Building Department
Main Road
Southold, NY 11971
Date:
Reference:
September 5, 2002
Favel Building Permit
Dear Sir,
This letter is to regarding the 2nd floor bathroom as shown on the plans for the requested Building
Permit for: Peconic Homes Section 2, Lot 47 SCTM # 1000-74-02-07.
I can certify that the bathroom can constructed with a ceiling height greater than or equal to 7' 6" in
height.