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Home My WebLink About12037-zFORM NO. 4 TOWN OF 5OUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall $outhold, N.Y. Certificate Of Occupancy No..Z..1.3.0.3.4. ......... Date November 30 19 84 THIS CERTIFIES that the buildh]g Addition & Alteration Location of Property 12960 Main Rd. East Marion " h3,Jsb ~iol ........................................................ Street Hamlet County Tax Map No. 1000 Section 03 1 . .Block 14 .Lot .. 010 Subdivision ......... .X. .................... Filed Map No ......... Lot No .............. conforms substantially to the Application for Building Permit heretofore filed in this office dated .... ,Ng.v.e.m..b.e.r....5 ..... 19 .8.2. porsuant to which Building Permit No ..... .1.2.0.3. 7 .Z .......... dated ........ N.o. ¥.e.m.b.e..r .... 2 6 .. 19..8.2, 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 ......... .. Second Floor Addition And Alteration to Existing Dwelling' The certificate is issued to ........... B..U.R.T.O.N. t EDWARD & WIFE "?o¥.'~;, ¥~id.,3't-3,;d,;o ...................... of the aforesaid building. Suffolk County Department of Health Approval N?A UNDERWRITERS CERTIFICATE NO. N 6 0 9 8 2 7 Rev. 1/81 Building Inspector BUILDING DEPARTMENT TOWN HALL , SOUTHOLD; N. Y. N? BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE pREMISES UNTIL ~ULL COMPLETION OF THE WORK AUTHORIZED) Rev. 6/30]80 Building II~spector. Fee $ ........ ~.~-~: ............. Permissioh, is hereby granted tog,.::~ .......... /~z~~. ~. ,,/~ ......................................... ............... , ........................................... · ~ .... . .................... - ~ ....................................... ~ ............ r"~ ............... ; ................ '> ............ ~ ........................... pu~bant to a~licatlon dat~ .............................. r"r ............... ....., 1 ~ and ippmv~ by the FORM NO. 6 TOWN OF $OUTHOLD Building Department Town Hall ,~,;outhold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY ~nstructions A, This application must be filled [n typewriter OR ink, and submitted,~;~l~-~teto the Building Inspec- tor with the following; for new buildings or new use: I. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage dispose[-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peopert¥ showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion requ!red to prepare a certificate. Fees: I. Certificate of occupancy ,$5.00 / 2. Certificate of occupancy on pre-existing dwelling/ land use 3. Copy of certificate of occupancy $1.00 --Pre-Existing C.O. $15.00 Vacant land C.0.. $ 5.00 L~a~e ....... ~' .... /. ............ New Building ............. Old or Pre-existing Building ..... ~ ...... Vacant Land ............. Location of Property / ~ ~ ~ .... /¢'~? ~/. ~_7~ ....... ~/~..,~.~'.~..,/~..~../~../...~. ~ ...... House No. Street Ham/et Owner or Owners of Property ~, ..~..., ~...~;~'~z.~.. ~.:..~ ................ CountyTax Map No. 1000 Section ... ~.?../' ....... Block .../.~. ......... Lot.. ~ ? c~ Subdivision ................................. Filed Map No ........... Lot No .............. Permit No ........... Date of Permit],..4,.//~.--~.~- ..................................... Applicant ~ Health Dept. Approval ........................ Labor Dept._ Approval ........................ ~.. ~ ~)~ d'App Underwriters Approval .................. Planning Boar royal ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $.. ~ ~ C.~structi.~o~ve described building and permit meets all applicable codes and regulations. Rev. 10-10-78 THE NEW YORK BOARD OF FIRE UNDERWRITERS nh E~UREAU OF ELECTRICITY ~-- 8,5 JOHN STREET, NEW YORK. N~=W yORK 10038 THIS CERTIFIES THAT only the eJec trical equipment ~ ~scr~bed bel~ and introduced by t~ applicant named on the able application number in the premises of ~rd T. ~c~ ~. ~. ~ E~ ~i~, N.Y. in the fol~owlng Iocatlon; ~ Basement ~ 1st FL ~ 2nd FL Section Block Lot was examined on J~y ~ ~ ~3 and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS SWITCHES DRYERS FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT 17 SYSTEMS NO. OF FEET )THER APPARATUS: 1-~ok~ Detector S E R A. WG OF CC. COND C NO OF HI-LEO NO. OF NEUTRALS OF NEUTRAL P. O. Box 215 ,~u~hold, N.Y., llgTI //578 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectqrs may be identified co, e¥ FOR:BUILDiNG DEPARTMENT. THIS COPY OF CERylF c'.A~ MqS~ N~T BE:A~T~I~ED IN ANY MANNER. SPECTION 1. FOUNDATION (1st) COMME,NTS FOUNDATION 2. ROUGH FRAME & PLUMBING (2nd) INSULATION PER N. Y. STATE ENERGY qODE FINAL ADDITIONAL COMMENTS: FORM TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN CLERK'S OFFICE SOUTHOLD, N.Y. NOTICE OF DISAPPROVAL File No ................................ ... ~,~-...?~...< .,~.../.~..~.~ ............. PLEASE TAKE NOTICE that your application dated . ..~/.o'. }(?..,ff,~...~.~.L".'.~....4../..., 19 .$.2... for permit to con,t~uot...~..c4C4,. ~..,?..~. ~ ./?..~.'<...~X (~..'~..'~.... &./...¢~/. ......... at Location of Property., ./.?..~4C). .... .~. ~. g ,t'~... ~.~..c~..~._,.. ......... ~-----,,'~-~d.O'-d7,. d9 noose No. $troet Ha~let County Tax Map No. 1000 Section ...~.-~..~. ..... Block ... g.~.. ...... Lot .(~)/.(~ ....... Subdivision ~ Filed Map No '--~' Lot No is returned herewith and disapproved on the following grounds~, e~.~..~.-?. P.( .- ~ V.< '~'/ .... . .,:.~.o...o..:~ ~...X.: :......:..4..~. ..... -:... :~. ~...~.. ~.~-... - ' 'Building Inspector '": RV 1/80 STATE DEPARTI~lff OF ENVIP. ON~NTAL CONSEI~VATIO~{ B~gulatory Affairs Unit Bldg. 40, S~ff--Room 219 Stony Brook, I~Y 11794 (516) 751-7900 October 27, 1982 Steve G. Tsontakis Drawer 1446, Middle Road Mattituck, New York 11952 Burton, East Marion, New York Dear Mr. Tsontakis: A review has been made of your proposal to: raise the existing single s~ery home of Mr. E. Burton to the flood plain level and then add an additional story. Location Orient Harbour; Main Road, East Marion New York State Department of Environmental Conservation has found the __parcel x project to be: Greater than 300' from inventoried tidalwetlands. Landward of a substantial man-made structure (funotional.~ut~$~) greater than I00' in lemgth constructed prior to September 20, 19~7. Landward of 10' contour elevation above mean sea level on a gradual, nat- ufa1 slope. ...... Landward of topographical crest of bluff, cliff or dune in excess of 10 feet in elevation above mean sea level. Therefore, mo permit under Article 25 (Tidal Wetlam~Is of the Environmental Conservation Law) is required at this time since the c~urrent proposal is beyond State mandated J.(~risdiction pursuant to this act. However, any additional work or modifications to the project may require a permit. It is your responsibility to notify this office, in writing, if such additional work of modifications are contemplated. Very truly yours, . ( Reg~on~/~upe rvisor of R~gula~dry Affairs DJL:RNT:cz FORM NO. I TCWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,: 765-1802 Application No. I.C~. ~'7' .... Approved ff..4~'~...~.. ...... 1~..~. Permit No.Z/.Z.~..~/~. ~.'z (Buildifi~pector) ~ APPLICATIO~I FOR BUILDING PERMIT INST RUCTIONS a. This application must be completely filled in by typewriter or in ink and submittedqr~ tx~pl[cate-to the B~did 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 s~re or areas, and giving a detailed description of layout of property must be drawn on the diagram whiclt is part oPthis ap' cation. c. The work covered by this application may not be commenced before issuance of Buildlng Permit. d. Upon apprc.'al of this application, the Building Inspector will issue a Building Permit to the applicant. Such per: shall be kept on the premises available for inspection throughout the work. e. No buiklh~g shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupar si,all have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for th~ issuance ora Building Permit pursuant to Building Zone Ordinance of thc Town 'of Southold, Suffolk County, New York, and other applicable Laws, Ordinances Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein descfib The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and admit uuthorizcd inspectors on premises and in buildings for necessary inspections. (Signature of appl~ant, or name, if a corporation) (Mailing address of applicant) State whether applicant is o~vner, lessee, agent, architect, engineer, general contractor, electrician, plumber or build ....... ~ e ~*-~--~ ................. . ...... ' .e..p. ~: .,~...~. N~llo of owner of premises . (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title ofcoamrate officer) Plumber's Licens: No. . Electrician's License No.' ..... T~P ........... Otlmr Trade's License No ...................... I ~?~ C) House Number Street Hamlet County Tax Map No. lOOOSection ...0,~. ...... Block .... l.~. .......... Lot . . .C~. (1~ ......... s~di~sio. ...... i'.:..g ......................... r~e~,~lap No ..... X: ....... Lo,..K. ........ (Name) 2. State ex/sting use and occupancy of premises and intended usq. and occupancy of proposed construction: a. Existing use and occupancy us, nd o=,a=,...', .', ' ' ", . .:..:.:'v.~ .... . ,.,- . _,.:,,..;,;: .... ...7~.;....,~.,~, .... ~'"',";TZ~".':"Y'.: ....... "" tO. 12. Nature ofwork (check which applicable): New Buildi~g .......... Addifion .......... Alteration ....... Removal D2molitlon Other Wor~ Repair ................... , ................................... Estimated Cost ....... ~ ........................... F~,. , ....... , (to be paid on filing this application) If dwelling, number ofdwellin~ units ...............I Number of dwelling units on each floor .... ~. 7 ..... If garage, number of cars .... ' .......... ~.~ w .~ If business, commercial or mixed occupancy, specffy, hatu~ and extent of each type of use ..... Dimensions of cxi}jin~ stmctuzes, .if anv: Front ..... ~ ~. ...... Rear .... ~.~ ..... Depth . .'~ ~ ...... Height ...].~. Nt n~e of tares OW~ Dimensions of same st~cture With alterations or additions: Front Rear Depth ' Height Number of Stories Dimensions of entire ngw construction: Front ~ Rear ~ Depth % ...... 6'6 ............................ Siz~ o[Iot: Front .......... . ......... Rear ...... Depth .. Dateo'f Purchase ....~ '~ Name of Fommr Owner ' ' ' ~ ~.~t~~ ?.. Zone or us~ district in ~vhich prmmses are s~tuated .... Does proposed construction violate any zoning lose, ordinance or regulation: ...... ~.~ ..................... Will lot be regraded ........ ~'.0. ......... Will excess fill be removed from premises: Yes Name of Architect ......... j .............. Aa~ ........... .,~Phone No ............... Name of Contractor Address Phone No Locate. clearly ~d distinctly property lines. Give street and blocl 'interior or corller lot. PLOT DIAG RAM ~" all buiklings, whether existing or proposed, and, indicate all set-back dimensions fro: number or description accordb~g to deed, and show street names and indicate whetN f(-----e-- "Daz-, ,o q .;' ~'raTs OF ix'gkV'~b aK, _ cou,'¢r¥ oiC _ s.s ......................................... being duly sworn, deposes and say~ that he is tho applicmm (Nanie or indMdual signing contract) above nam'ed. ge is the ( . (Contraotor, agent, corporate officer, etc.) o'~ said Owner or own'eh, and application; that all statements contained in this application are true to tim best oF his knowledge and belief; and that W'ork will be performed in the manner set forth ht the application filed therewith. ~orn to before me this ........... day [ .... ., 19.. 765-1802 9 AM TO 4 PM FO~ FOLLOWING INSPECTIONS' 1. FouNDATION - TWO FOR POURe~ 2, ROUGH - FRAMIhlG & 3. INSULATION 4. FINAL : COh:STRUCTfON MUST DE CO~4P~ FTE FOR C, O ALL CONSTRUCTION SHALL MEET THE REQUtREMENT¢ OF THE N. Y, ~ATE CONSTRU~ION & ENERGY ~D~, NOT RESPONSIBLE FOR D~IGM O~ CON.RUCTION Unauthorized alfemtlan ar addition to this dacuhlent is a vlobtien of section 7209 of the New York State Educ*tion law. Ceples ef tbls d~cument not bearing the englneer's inked seal or embossed seal shall not be cons:tiered valid copies. gnauthorized alteration or addition to this docuCnent is B vloIBtion of section 7209 of the New York State Education Copies of this document not bearlng the engineer's inked seal or embossed seal shall not be ¢o~:d~red valid copies. NYS PE,¢ 42817 for water distributing ~,~ystem; piping shall be of htPes K or L on,~ ORDINANCES. ~/YO~ 81A'E ~ ~gSB3/ATI~ CODE ~ ~ ~LI~-WI~ IN ACUTE W~ P~ V ~IDI~ D~IGN BY AC~ P~ICB), ~TI~ S~ BE VIA S~g~E Z~B ~ ~H Fk~R. ST~ P~ F~ W~, ~ ~,I ~ ~E ~I~E ~ ~ F~E SPACI~, A ~I ~ ~LY WI~ ~ P~UI~ ~ R~IRD FOR ~UUI~ IN ~ A-7 F~ Z~, # Unauthorized alteration or addition to this document is a violation of secton 7209 of the New York State Educaton Cop~es of this document not beating the eng[neer's inked seal or embossed seal shall not be com','dcred valid copies. STE' ~:ONSULTING T :': O ~.: T A K I S ENGINEER NYS P~rl3 42817