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HomeMy WebLinkAbout28561-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29171 Date: 01/07/03 THIS CERTIFIES that the building ALTERATIONS Location of Property: 1335 MAIN BAYVIEW RD SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 70 Block 8 Lot 3 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 12, 2002 pursuant to which Building Permit No. 28561-Z dated JULY 16, 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 ALTERATIONS (GARAGE CONVERSION) TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to IRENE CORDES STEWART (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1080300 11/12/02 PLUMBERS CERTIFICATION DATED 12/05/02 WALTER H. BERRY i� Authorized S gnature 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. 28561 Z Date JULY 16 , 2002 Permission is hereby granted to: IRENE CORDES STEWART PO BOX 1344 SOUTHOLD,NY 11971 for . ALTERATIONS (GARAGE CONVERSION) TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1335 MAIN BAYVIEW RD SOUTHOLD County Tax Map No. 473889 Section 070 Block 0008 Lot No. 003 pursuant to application dated JULY 12 , 2002 and approved by the Building Inspector to expire on JANUARY 16, 2004 . Fee $ 150 . 00 CAA::�ut;� r' ed Signature ORIGINAL Rev. 5/8/02 Form No.6 TOWN OF BUILDING DEPARTMENT NT HALL TO �� 1202 .�2 WN 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 I% 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 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. !! 4 /G Z. New Construction: Old or Pre-existing Building: L/ (check one) Location of Property: 3 H A l�J B A L� V1 E u1 SD t4 7 �_j 0 La House No. Street Hamlet Owner or Owners of Property: ,L /ZE nIE C' O R u G .5 STE WA /-Z Suffolk County Tax Map No 1000, Section .4173991107,0 Block 06P 6) g Lot 00 3 Subdivision �j Filed Map. Lot: Permit No. b StjZ- Date ofPermit. 7 Applicant: .TRF_t)E deP_,0�6-S S%E111i4�/ Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: T (check one) Fee Submitted: $ O 31 53 Applicant Signature c0 Z= a%t �I FOL,t v Town Hall,53095 Main Road G .� Fax(631)765-9502 P.O.Box 1179 y�v aft' Telephone 1;631)765-1802 Southold,New York 11971-0959 ---'� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: a/ h Y Building Permit No. Owner: ,Z7ZEA;6- 6Q9V E S ST 54JA 2J , ) (pleaLLse print) Plumber:� �-k(-k(- tT (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. 1-411 (Plumbers Si Sworn to before me this So day of dee 20 OZ Notary Public, U 1 County Lp Notary Pubs,L. OPER New York No.alLO6O7W8l Qualified in&uttolk Cou Commission Expires 2 o� O JrrPr�rJ�rJ�r rrJ�rJ�cPcnr1�rJ�rJ�rJ�rJ�rJi rE IJ�rJ�rJ.11 11.10:111 J�rJ@PrJ�rJ�rJ�rJ��.n� 9PRI nr IVEI JVE.nr�ri: 1:PrJ�rJ�rJ�cJ�rJ�cPrJCrJ��l-r�rJ�rJ��n�nrJ�rJL3o 5 l/ BY THIS CERTIFICATE OF COMPLIANCE THE 3 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY 5 rj 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 5 5 5 Upon the application of upon premises owned by 5 5 ROSLAK ELECTRIC IRENE STAURT C5 P.O. BOX 164 1335 MAIN BAYVIEW RD e5 CUTCHOGUE, NY 11935-2453, SOUTHOLD, NY 11971 Located at 1335 MAIN BAYVIEW RD SOUTHOLD, NY 11971 lc Application Number: 1080300 Certificate Number: 1080300 Section: Block: Lot: Building Permit: 28561-Z BDC' NS11 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 First Floor,Outside, 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below,was 5 5 found to be in compliance therewith on the 12th Day of November,2002. 5 5 Name OTY Rate Rating Circuit Type 5 S,5 Wiring and Devices 5 Receptacle 5 0 General Purpose 5 5 Switch 6 0 General Purpose 5 5 Fixture 1 0 Incandescent e5 5 Receptacle 1 0 20 antp Laundry 5 5 Pole/Post Lighting Standard 1 0 30 amp Dryer 5 Lighting track 4 0 FT C rj Paddle Fan 1 0 5 5 5 5 5 5 5 5 5 5 seat 5 5 l of l 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 OEJ�EJ�EJ�E fEJ�EIEJ�EJ1J0Jg@PLEJ�EJEE.ISE.PEnEnEJ�EJ�EJ�EJ':En5J�EJ�E.fE.IEJ�EJ�EJ�EJ �EJEJEJ 1:111�EPEJ�EJ 1111:1 EJE1EJ2 rL3PL L3rL3 Lrc3-Lrc3 rJEJr3JLJIE jortu oim BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: -�//6/0% APPLICANT 1 EtJf CST DATE SUBMITTED:y//�/Oo SCTM#DISTRICT: 1,000, SECTION: �, BLOCK: 9 , LOT: 3 STREET ADDRESS: /335 CITY: ao ,'X7/�(� SUBDIVISION: PROJECT DESCRIPTION: �` [A„ye,,s�oz r/ "k ESTIMATED PROJECT COST: /Z7 ARCHITECT/ : /v;, If, FAST TRACK? llo SINGLE & SEPARATE CERTIFICATION-REQUIRED? /4V/0 NOTES: LOTS 40,000SF-100-24. Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after 7/ ZONING DISTRICT: Yo CONFORMING? ke REQ. LOT SIZE: &004> ACT. LOT SIZE: /j,036 REQ. LOT COV. ACT. LOT COV. REQ. FRONT .S5 PROP. FRONT�L�REQ SIDE l�S ACT. SIDE REQ. REAR -5,T PROP. REAR i REQ. HEIGHT PROP. H SIGHT WATER FRONT? /yo DESCRIPTION: PANEL #: _4eL7 FLOOD ZONE:, APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DgT: YES o (BED #): DTE:_/_/_ PERMIT#:RIO- TOWN SEPTIC RECEIPT: Y o NEW YORK STATE DEC: PRE-DEC 9/1/75 YES o SOUTHOLD TOWN TRUSTEES: YES TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES o TOWN HISTORICAL PRE (SPLIA : YES o O NYS ENE : 1/ °k- Rw `^^3\ EGRESS (18 H min.? 4 sq total) --VENT(SQ. FT. x 4%) LIGHT (SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z_ NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: �2-i!j SF FEE FEE FEE 1. ( .o,2`)`) SF)- ( SF)= SFX $ _$ +$—+$—= $ So 2. ( SF)- ( SF)= SF X $—=$—+$—+$—= $ Ii:NERGY CODE CALCULATIONS (tor Non-Electric Ileac) Design Criteria 6 , 000 Uegree'.Days / O.A. ICJ°r• I.A. 70°c FOR: ¢ the S�ewa' 6 PER: Pe#)Ay k f0 ,Z,,- 2.30 i — j 33 Mgih iWL 1 s0014,p /. DATED: I (T'cr c p 0.0 o ve - >t- S-1,410 i SUUSYS'J.'CM AREA DESIGN1'}Jl;11MJ;L REMARKS ( U RA'Z'ING ( Uxterior Walls (Opaque) Glazing 2-7 s8� 3 - /7 f� °� `�S°. �P o- c9vc� ceiliny/1100f (Opaque) SkyliyhL•s Floor Foundation walls t Slab Insulation TOTAL No Les: 1wildiuy Envelope Systems to meeL• requirements of 7015. 2 HVAC Equipement to meet requirements of, 7015. 11 ( HVAC Systems to meet requirements of 70.15 . r2 ( Duct Systems to meet requiremeiiLs of 7015 . 13 Vent'il.alions Systems to meeL• requirements of 7015 . 14 Tusulat•ion of Piping Systems to meet requirements of 7U15 . 15 Service water 11eaUny Systems & LquipmenL to meet requiremenL•s of '7015. 21 Electrical & Lighting Systems & Equipment- to meeL• requirements of 707.5 . 31 To the best of my knowledge, t�� �r- vg a belief, & professional 5 <'" judyemenL, these plans arc iii • v r compliance with the code . ov l �r 032254-1 ,'. Aq®E ES:lC�t1 P�. M-1802 BUILDING DEPT. INSPECTION/FOUNDATION [ ATION IST [ ] ROUGH PLOD. [ 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY ARKS: D4 - DATE � 02--�'INSPECTOR M-1802 BUILDING DEPT. INSPECTIO [ ] FOUND ON IST [ PLBG. [ IF DATION 2ND [ ] INSULATION [ FRAMING [ J FINAL [ ] FIREPLACE A CHIMNEY REMARKS: DATE �L�SPECT r 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] UNDATION 2ND [ NSULATION FRAMING Q �� [ ] FINAL FIREP AC A CHIMNEY REMARK DATE �� Q v INSPECT M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ 4"INS ION FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: (o 7e,-�; DATE d INSPECTO FIELD INSPECTION REPORT DATF, CONIIMEM 67 FOUNDATION (A/) ------------------------------ lov c FOUNDATION(2ND) + cn z o cc x ROUGH FRAMING& PLUMBING x 7 e � INSULATION PER N.Y. y STATE ENERGY CODE i i l� FINAL ADDMONAL CONEM32 S O z m A � S t� b y O z l �r x C I OWN OF ` .)UTHOLD BUILDING PERMIT APPLICATION CHECKLIST Rt 11.DIh�" APARTMEN Do you have or need the following,before applying? LOWN A ALL Board of Health_ SOUTHOLD, NY 11971 3 sets of Building Plans "CEL: (631) 765-1802 Planning Board approval��7�� FAX: (631) 765-9502 �� � Survey V PERMIT NO. Check Septic Form N.Y.S.D.E.C. 7 Trustees E. ,anrined 1,6 20 Z Contact: appro%ed 7116 20 C' Mail to: _ )isapproved a c Phone: I:�piration—_- uilding Spector APPLICATION FOR BUILDING PERMIT - Date al 120,0 v N1 t I " ! STRUCTIONS a. This applic kUXJNL1bq cly'fill`ed in by typewriter or in ink and submitted to the Building Inspector with acts of plans, accurate o f lan to scale. ee according to schedule. b. Plot plan s wirecadoa af.lot.and of buildings on premises,relationship to adjoining premises or public streets or u-eas. and waterways. T tI'.:; t M fr. c. The work covere y s appltc-a nrmay-riot 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 liall be kept on the premises available for inspection throughout the work. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector sacs It 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 :)Ioperty 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 I:e<<ulations, 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 'iuthorized inspectors on premises and in building for necessary inspections. reez� s4vx� (Signature of applicant or narf5e, if a corporation) (Mailing addreA of applicant) Statc ��hether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or buil er D"M �? 11nc Of tm ner of premises �,141i4= (�//yY z d (As on the tax roll or latest deed) 1 i applicaia i; a corporation, signature of duly authorized officer (Name and title of corporate officer) Builders License No. a/ 3 y Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: 1335 M . led �e , V.�. // g 7I House Number if Street 149 Hamlet County Tax Map No. 1000 Section 473'& y Block g Lot Subdivision Filed Map No. Lot (Name) State existing use and occupancy of premises and intended use and occupancy of proposed constructions a. Existing use and occupancy b. Intended use and occupancy 3 Nature of work (check which applicable): New Building Addition Alteration, Repair Removal Demolition Other Work 11 (11 O RQ, (Description) 4. Estimated Cost j ,DCVO. e e) Fee /�5 b t.3 —�� (To be paid on filing this application) If dwelling, number of dwelling units ! Number of dwelling units on each floor / If garage, number of cars i 0. If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front / - `l Rear AO r T Depth ,Z Height / /n u,, Number of Stories r Dimensions of same structure with alter tions or additions: Front_/C� y Rear /O y Depth Z 3 ' Height f Number of Stories / S. Dimensions of entire new construction: Front y ,�w Rear Depth Height Number of Stories 0. Size of lot: Front Rear_ I©O, D Depth 10. Date of Purchase Name of Former Owner 1 1. Zone or use district in which premises are situated z O 0 1-1404& 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO X, 13. Will lot be re-graded? YES NO--)/ Will excess fill be removed from premises? YES NO 14. Names of Owner of premises L C• ,St ekt-44-i- Address ✓'o 49X /3 V V Phone No. 6 31 Name of Architect 0. 0 Address 'Phone No Name of Contractor4-S�±/-Zp/ Address /yl AT1`1V&K Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO i/ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE�tEQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO ��// * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 15. 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 sun'ev. 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 �aw0P, (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 bef9fe me this of 20 ka Notary Public Signature of Applicant HELENE Notary Public, Sa eORNE of Now York No.4951354 Qualified in Suffolk County, Commission Expires May 22, cp Cj S �p y il gnu � -.- - - Ll V ll HI_Ct L + " L aid � ole �7'or�Jec iEi MAP oF- /�RopERTY Q SUf?VE1�E0 FDR 0 zo 0 43' $ 1 �ENRY N cORD�EES A Y q 2.9 h N. Q SCG /e 50' v LAffo� o� Sftri�/i GctaraH�ccc��ti � ,�,�ar�{,p/k C"ouf+y4� �cd�r�r� [�iy�s 4f(O/,�Ql7/Y.�Sscicrrr�0/y ifr Baby/cif 4�d =ff>ofru �fr G4Arofrfeec/ -/o ffre /r lee T Ile a= ro�r i Gccarcr<rfy afro/ Mor r� Q f c G"o miscarry as ot/o W , 7z y/ sorr 1 iW Llrvct�/pr-g :z Gr'ccf- /Uew York ' �I` t•zx?ec� it+ ;', �'til ' I. -"—DATE-I s IT 1 NO NOTIFY ILDI roDEP TNENT AT PROVI �MOK -DETECTIHQ ', ` g - � RMD VICES 1 - k 7s5neD3 Y A M FOR THE FOLLOWI INS TIONS: A. t PA .721.1 _ - - '. .�" �— .1.,,FOUNp TION • TWO REOUIREO , , N.Y. UILD NG CODE! '' -�' { �- FOR P � ,� .(( (Il t - nc r - _ k- -t 2 ROU Nfi i" LUMBO' - T iyt - " I INSuiolVb� Tx4vt? -E I A.'FINA-COSI STRUCTION MU '' - - ! T + K '� - .-, ._ "t • , BEC NN��PLETEF hmo. = ALL CO aSTRUCTION SHALL MEETr STATE NSTRUCTION i ENERGY , �� I r _ -! f if - - , '"!✓W'n»�� 5� '""-"^" III _ - THE RE UIREMENTS OF THE NXY S CODES PNOT-RESPONSIBLE FOM ORS { - DESIGN OR CONSTRUCTION ERRORS � - _ d D LIt � `,dlx l.z)" I' a ! PLUMB RCERT TFC GvvlC l ALff Ga G ONLE4 ONTEN T-BEFORE- 41 - - -� ERTIFICITE OF Y 40 C SOLD£ USED IN WATER ; t�. ; t t WL_ e -not�j.. 3 ! P;. ' ` _ C , p 14 usu ��a fuSU n e $UPPLY�SYSTEM CANNOT 1 y a ` 4 fi At E. %2dti II:a'I I" T% LEAD © 1 I T xcEE� 2iTo of f t _ ,I " '' - . s hY ._ .. � I A'�,` 'tlf*7 r - ,✓� V - fo Prte per —_�. i tar.distributing -_' I � _` . , z. 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