HomeMy WebLinkAbout28824-Z FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-29069 Date: 11/08/02
THIS CERTIFIES that the building ADDITIONS
Location of Property: 880 VILLAGE LA ORIENT
(HOUSE NO. ) (STREET) (HAMLET)
County Tax Map No. 473889 Section 25 Block 1 Lot 16.1
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated OCTOBER 3, 2002 pursuant to which
Building Permit No. 28824-Z dated OCTOBER 11, 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" DECK ADDITION AND "AS BUILT" INSTALLATION OF A GAS HEATER IN
AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to THOMAS WEISS
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
ELECTRICAL CERTIFICATE NO. 1038094 03/27/02
PLUMBERS CERTIFICATION DATED 11/06/02 JOHN H REICHERT
,z ��A 4;ttn-�
Authorized Signatur
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:
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$15.0JJ0
Date. 1 Z 5 12 iJ 2
New Construction: Old or Pre-existing Building: ✓ (check one)
Location of Property:
p er: U ) V , I o,�e LCJ
House No. Street ( m rl
Hamlet
Owner or Owners of Property: ' I'kc Vl Q S S
Suffolk County Tax Map No 1000, Section Z S Block Lot U
Subdivision Filed Map. Lot:
�i Permit No. �G O p p 2� Date of Permit. t D't► O Z Applicant: 0v-),:,S
We, S
Health Dept.Approval: Underwriters Approval:
Planning Board Approval:
Request for: Temporary Certificate Final Certificate: " (check one)
Fee Submitted: $ U J
�a �2C)��o 1 �
/,�� Applicant Signature
jUHN W.REICHER I
PLUMBING&HEATING
BOX 1862,SOUTHOLD,NY 119
CUSTOMER'S ORDER NO. DEPT. DA E:
P �� O2
NAME:
ADDRESS:
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CITY. STATE.ZIP Q --
SOLD BY: CASH C.O.D. CHARGE ON ACCT. MDSE RTD. VAID OUT
OUANTITY DESCRIPTION PRICE AMOUNT
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RECEIVED BY:
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KEEP THIS COPY FOR YOUR REC GFESSIONP�
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PROFESSIONAL ENGINEER 1-1/0/2
1725 HOBART ROAD/PO Boz 616, SOUTHOLD, NEW YORK 11971 Gs /l rp
TEL631-765-2954 • FAX631-614-3516 • e-mail: joseph@fischetti.com
Date: October 29, 2002
Reference: 880 Village Lane, Orient
Building Inspector
Town of Southold
Main Road
Southold, NY 11971
Dear Sir,
I inspected the front wood entry patio. The wood entry patio has been constructed as a floating
deck with no sub-surface footings. The patio is constructed on wood timbers supported directly on the
surface. There are no other loads other than the patio to be used as an entry. The wooden patio is
adequate as an entry structure and will support the icipated loads and as such meets the NY State
Building Code. ()F NEyy y
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pgCFESSIONP�
Joseph Fischetti, PE
PROFESSIONAL ENGINEER
1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971
TEL 611-765-2954 • FAX 631-614-3516 • e-mail: joseph@fischelti.com
Date: November 8, 2002
Reference: 880 Village Lane, Orient
Building Inspector
Town of Southold
Main Road
Southold,NY 11971
Dear Sir,
I inspected the front wood entry patio. The wood entry patio has been constructed as a floating
deck with no sub-surface footings. The patio is constructed on wood timbers supported directly on the
surface. There are no other loads other than the patio to be used as an entry. The wooden patio is
adequate as an entry structure and will support the anticipated loads and as such meets the NY State
Building Code.
The installed gas hot water heater and the gas fires furnace both meet the New York State
Building Code. NE
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350��
Joseph Fischetti, PE
h�o�o$uFFot,� Gs
CD
Town Hall,53095 Main Road O Fax(631)765-9502
P.O. Box 1179 y�O `` Telephone(631)765-1802
Southold,New York 11971-0959
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
CERTIFICATION
Date:
Building Permit No. 9(&?A y Z
Owner: torr) O E(SS
(please print)
Plumber: J oh ti L<j K c'/c Ne 27
(please print)
I certify that the solder used in the water supply system contains less than 2/10 of 1%
lead.
AA (Plum ers Signature)
Sworn to before me this (.0 `
day of 20 Oa
Lorndne LaRosa
NOTARY PUBLIC,State of NewYO*
No.01 LA6059257
Qualified In Suffolk County
N ary Public, CX County Commission Expires May 29,20Q
Date: 9/25/2002
To: Building Department, Town of Southold
From: Thomas Weiss
Re: Certificate of Occupancy (pre-1957 building)for 880 Village Lane,
Orient (25 - 1 - 16.1)
Dear Sirs:
In November 200 1, 1 purchased this property from long-term owners who
did not provide me with with a CO. In January 2002, 1 applied for a CO
inspection in order to obtain a list of deficiencies to be remedied to
bring the building into compliance with Southold Town Code. I have now
corrected all of the issues listed on the Inspector's report dated
1/18/02 (reviewed below) and am therefore reapplying for a CO.
Yours resp ctfully,
Thomas Weiss
Issue: Wood burning stove installation suspect.
Resolution: Wood burning stove removed.
Issue: New gas heating equipment requires building permit and
installation to code.
Resolution: Gas heater listed on application for "As-Built" permit. New
duct added to supply combustion oxygen from outdoors; said work
inspected by licensed engineer(letter attached). Entire installation
inspected by licensed master plumber (letter attached).
Issue: Exposed electric and extension cords in cellar to be removed by
licensed electrician and underwriter's certificate obtained.
Resolution: Unsafe wiring removed by licensed electrician and
underwriter's certificate obtained(certificate attached).
Issue: Stairway to cellar requires hand rail and protection on open
side.
Resolution: Rail and protection added.
Issue: Smoke detector outside sleeping area needed.
Resolution: Smoke detector installed.
Issue: Outside entrance to basement to be sealed or stairs applied.
Resolution: Outside entrance to basement sealed.
Issue: Front deck requires a building permit.
Resolution: Front deck listed on application for "As-Built" permit.
Deck inspected by licensed engineer(letter attached).
PROFESSIONAL ENGINEER
1725 HOBART ROAD/PO Box 616, SOUTHOLD, NEW YORK 11971
TEL 631-765-2954 • FAX 631-614-3516 • e-mail: joseph@fischefti.com
Date: July 17, 2002
Reference: 880 Village Lane, Orient
Building Inspector
Town of Southold
Main Road
Southold,NY 11971
Dear Sir,
I inspected the front wood entry deck and the gas boiler make up air installation this week. The
wood entry deck has been constructed as a floating deck with no sub-surface footings. The deck is
constructed on wood timbers supported directly on the surface. There is no other loads other than the
deck to be used as an entry. The deck is adequate as an entry structure and will support the anticipated
loads.
The gas make-up air piping to the furnace will be adequate to supply combustion air to the
furnace.
OF NC
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Joseph Fischetti, PE
O cl��n�icrcnr�cPnJ��cnJrLrJPLPLQnJ�nLLr3pLL@3P� LJa �r5� Jr@nPPLTrL3 3FPnPLnnrPLtnPnJPLn I
5
BY THIS CERTIFICATE OF COMPLIANCE THE
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 BUREAU OF ELECTRICITY C5
5 40 FULTON STREET — NEW YORK, NY 10038
CERTIFIES THAT 5
5 Upon the application of upon premises owned by
5 5 Q.C. ELECTRIC INC. TOM WEISS 5
P.O. BOX 518 VILLAGE LANE 5
LAUREL, NY 11948-0518, BOX 543 CcSJ
5 Located at ORIENT, NY 11957
VILLAGE LANE BOX 543 ORIENT, NY 11957
Application Number: 1038094 Certificate Number: 1038094 c�
5 Section: Block: Lot: Building Permit: BDC: NS11 C5
5 Described as a 5
c Residential occupancy, wherein the premises electrical system consisting of 5
electrical devices and wiring, described below, located in/on the premises at: 5
5 Basement,
5 55
5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5
found to be in compliance therewith on the 27th Day of March,2002. 5
5 Name QTY Rate Rating Circuit Type 5
5 Wiring and Devices
5 5 Fixture 6 0 Incandescent
Switch 2 0 General Purpose 5
5 5
5 5
5 5
5 5
5 5
5 5
5 5
5 Sea, 5
5 I of I 5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5
5 5
U" ��������������������������rn�� 00JEWiril o
Q.C. ELECTRIC INC.
P.O. BOX 518
LAUREL N.Y. 11948
DATE INVOICE NO.
2!20/02 583
BILL TO
Mr.Tom Weiss
P.O.Box 543
Orient,N.Y. 11957
PROJECT OTHER
ITEM DESCRIPTIONQTY RATE SERVICED AMOUNT
Desciption .Switch utility rm.lights I 350.00 350.00T
Install lighting in basement with sw.at top of stairs
Re-work open splices into junction boxs
Remove old wiring,fixtures
Boxlg plastic 1 Gang Plastic Box 4 0.75 3.00T
Box4"rd last 4"Plastic Round Box 6 1.75 10.50T
Box Alt.l g 1 Gang Alteration Box 1 2.00 2.00T
Lampholder PC Pull Chain lamp holder 6 4.38 26.28T
Platel g blank 1 Gang Blank Plate 4 0.80 3.20T
Platel g sw. 1 g switch cover 2 0.45 0.90T
Sw./S.P. Single pole switch 2 0.90 1.80T
Material wire,conns.,hw. i 1 25.00 25.00T
UL Inspection Underwriters Certificate Inspection 50.00 SO.00T
0.00 0.00
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i
Thank you for your business.
Total $472.68
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ j FINAL,/, ��]L
[ ] FIREPLACE & CHIMNEY
REMARKS: c.
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�,�c�e� r1Ys, L .u1 ,cam
DATE INSPECTOR,,*':�j7x;,e�-
FIELD INSPECTION REPORT DATE COMMENTS
ro
a�
FOUNDATION(1ST) S
-------------------------------------
FOUNDATION
-----------------------------------FOUNDATION(2ND)
fi
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0
ROUGH FRAMING&
PLUMBING
INSULATION PER N.Y. �- y
STATE ENERGY CODE
1':'11310 2- < '
Ole-
FINAL
llFINAL40,
ADDITIONAL COMMENTS
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TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST
BUILDING DEPARTMENT Do you have or need the following,before applying?
TOWN HALL Board of Health
SOUTHOLD,NY 11971 3 sets of Building Plans
TEL: (631) 765-1802 Planning Board approval
FAX: (631) 765-9502 2 Survey
PERMIT NO. Check
Septic Form
N.Y.S.D.E.C.
6
Examined r `ID 120 Contact Trustees
Approved l 0 1 ,20 F 11 Coo P e r-
,20 to: lici6 �e l
Disapproved a/c VO
90A-7
4'y it vort `I q y,q
a Phone: 63 I- aT7-O.SS,— -1
Expiration !h 20
n
- ro r Building Inspector
2W2
APPLICATION FOR BUILDING PERMIT
3LDG ,T. _!
` nU'�oCD Date_ I2 S 20 OL
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. [--.i
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 after 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. Thereafter, 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 all applicable laws, ordinances,building code,housing code, and regulations, and to admit
authorized inspectors on premises and in building for necessary inspections.
,e' � �4
(Signature of applicant or name,if a corporation)
238o Wadi;-J6n St Api 3
Sq., Fm c,'$Co CA g4ll -
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder
Name of owner of premises �Mh 0.S C S S
(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 No.
Electricians License No.
Other Trade's License No.
1. Location of land on which proposed work will be done:
8R0 VMCL5e LGre 0r-', evkt
House Number Street �i
County Tax Map No. 1000 Section 2 °oaSAs'k no ea nmo• F
r GirlLot
�rtdu�t YtBto ..
Subdivision v:nuo' o
(Name) _ F-„qx Lot
2. State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy res;de'n c e
b. Intended use and occupancy r c S i cQ e rc e
3. Nature of work (check which applicable): New Building Addition Alteration
Repair Removal Demolition Other Work `De c K i G-s s W ecfe r
(Description)
4. Estimated Cost NIA- aS-b1A-i+ ay Wvke(s) Fee '40a -014 hVcasbe
(To be paid on filing this application)
5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor 1
If garage, number of cars
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use.
7. Dimensions of existing structures, if any: Front Z S Rear 2 Depth 1 S 9
Height I b ' Number of Stories I
Dimensions same structure tructure with alterations or additions: Front 7-5 Rear Zf
Depth 46' Height 16 Number of Stories—I
8. Dimensions of entire new construction: Front 2 S Rear 25 Depth 6
Height i7 i v\c1\e S Number of Stories pik (ctec K)
9. Size of lot: Front ! Rear SS 7 Depth 1 -7 g ,
10. Date of Purchase 11 /iz Jti pJ Name of Former Owner Kao e 0'% h S
11. Zone or use district in which premises are situated )G ml e 7 b kS
12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO ✓
13. Will lot be re-graded? YES NO ✓ Will excess fill be removed from premises? YES NO
11 11 23ko Wa "& S
St- Art 3
14. Names of Owner of premises 1koww.S W e+S S AddressS4n F'%c'-Ncf (A_ Jq 11- Phone No. 64- '499 -qd00
Name of A.iehitert E.,5!hea.-: So e FizL1,e W i Address PO 8,�\ 616 Phone No
Name of ContmrTor tAmbP, : I-D\,h iP-e rJ1c 1' Address PG3on 1962 So�+Wlcf Phone No. 6 31 -7(s-3 v 61
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 NEPi-�
SS:
COUNTY OF S4,#J AiceSco
�n O✓"t�-3 �l e k�S ;V' -7 being duly sworn, deposes and says that Xhe is the applicant
(Name of individual signing contract)above named,
O)He is the 0 W fte K- Z-72 )
(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
ZS day of SF���'t!j'E.z 20 oz
7< �or 2:��� zi] �A
otary Public Signature of Applicant
com V80 s
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SURVEY OF PROPERTY
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UNDERWRITERS CERTIFICATE
REQUIRED
If copper tubing is used
for water distributing
AP R VED AS NOTED system; piping shall be
DATE� 1n_10\ B.P.&; -'�� of types K or L only
FE�P�X�BY: •F�OZ UNDERWRITERS CERTIFICATE
NOTIFY BUILDING DEPARTMENT AT REQUIRED
785.2802 9 AM TO 4 PM FOR THE
FOLLOWING INSPECTIONS: OCCUPANCY OR
2 FORPOUREIDCONCRETTER_OUIRED USE IS UNLAWFUL
2 ROUGH • FRAMING & PLUMBING WITHOUT CERTIFICATE
I INSULATION
4 OF OCCUPANCY
FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET _
THE REOW!TEMENTS OF THE N.Y.
STATE CONSTRUCTION & ENERGY '." - '„,E
CODES. NOT RESPONSIBLE FOR --
DESIGN OR CONSTRUCTION ERRORS
PLUMBED? CER77F/CAT/ON
ONLEAD ;
;OP/TENT BEFORE i
CERT/FICA; ra. .E.
-. OCCUPANCY
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