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HomeMy WebLinkAbout29119-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29698 Date: 09/09/03 THIS CERTIFIES that the building ADDITIONS & ALTERATION Location of Property: 8125 MAIN RD EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 2 Lot 30 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 8, 2003 pursuant to which Building Permit No. 29119-Z dated JANUARY 22, 2003 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 DECK ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to WILLIAM L & BARBARA CLAYTON (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1159983 08/29/03 PLUMBERS CERTIFICATION DATED a03ING PLUMBING Authorized Sign ure' 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. 29119 Z Date JANUARY 22 , 2003 Permission is hereby granted to : W & B HAMMER 8125 MAIN RD E MARION,NY 11939 for RECONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 8125 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0002 Lot No. 030 pursuant to application dated JANUARY 8 , 2003 and approved by the Building Inspector to expire on JULY 22 , 2004 . Fee $ 150 . 00 Authorized Signature COPY Rev. 5/8/02 Form No.6 Y46kTOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL =2�JD 1 765-1802 /!Y '�// APPLICATION FOR CERTIFICATE OF OCCUPANCY, This application must be filled in by typewriter or ink and submitted to the Building Departapent 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 consent to iuspccl signed by tilt applicant. ffa Certific:de 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 4 Updated Certificate of Occupancy - $50.00 5. TemporaryCertifcatcofOccupancy- Residential $15.00, Commercial $15.00 �/ Date. ' New Construction: Old or Pre-existing Building:— (check one) Location of Property: r House No. Street Hamlet Owner or Owners of Properly: A/ Suffolk County Tax Map No 1000, Section �r Block Z Lot 30 Subdivision Filed Map._ Lot: Permit No. j q y Date of Permit. /4 3 Applicant: 1� Health Dept, Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate _Final Certificate: (check one) Fee Sub tied: $ .Z tc ature ��o�SUFFO(,�co H x Town Hall,53095 Main Road 0 • Fax(631)765-9502 P.O. Box 1179 'j' Ot" Telephone(631) 765-1802 Southold, New York 11971-0959 ��.( `;•.� BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION 7 Date: BuildingPermit�N-o. p[ �fll Owner: C�ra� �' [� (Please print) Plumber: (L4. 5 (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Vl (Plumbers Si ature) Sworn to before me this day of �Q • , 20 �3 Notary Publis,I�-A//c County Claire L. Glow Notary Public, State of New York No.OIGL4879505 Qualified in Suffolk Count Commission Expires Deo. 8, M r�rJ aLI�rJ�rlorJ�rJ�rJrJ�rJ�cJ��P�PrJrJ�rJ arJ dCPrJ aCJCPrJr>nCJ�rJ.1 EEP11 -PrJ�rJ acPrJ@JrJ�rJ�i i i!fC IAC IcPrJrlrJ@fCJrJrJr��PrJrJrJ�rPr� rJ LI�cPrJr�rJ e❑° 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 rj BUREAU OF ELECTRICITY rS 55 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 Upon the application of upon premises owned by 5 JIM SAGE ELEC. INC. BARBARA CLAYTONP.O. BOX 38 MAIN RD5 GREEN ORT, NY 11944-0038, EAST MARION, NY 11939 e� 55 Located at MAIN RD EAST MARION, NY 11939 5 Application Number: 1159983 Certificate Number: 1159983 C� e5 Section: Block: Lot: Building Permit: BDC: NS11 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, Second Floor, Outside, 5 Swas 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 29th Day of August,2003. 5 SName v, . Rate Rating Circuit Type Alarm and Emergency Equipment 75 Sensor 1 0 Carbon Monoxide 5 5 5 Sensor 5 0 Smoke rrr5 Appliances and Accessories SExhaust Fan 3 0 F.H.P. Air Conditioner 1 0 48.000 BTU 5 Wiring and Devices 5 Receptacle 47 0 General Purpose Switch 19 0 General Purpose 5 5 Fixture 9 0 Incandescent 5 5 Paddle Fan 1 0 5 5 Dimmers 10 0 5 Dj Receptacle 1 0 20 amp Laundry �5 Receptacle 1 0 30 amp Dryer 5 5 Receptacle 4 0 GFCI NJ seal 5 seal 5 IN 7L+ 1 of 11C, �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. N o EPr1EPEJ�EJ�EPElarJ@J�EPEJ�rJ@PEJ�EPEPEPEPEPEPEPEPEI�EPEPE.PrJ�rJ@PEPr_PcPrJ'arJ'arJ�EPrJ�cnr�r�rJ'rJ'rJ�rJ'arJ�r�rJ'arJ'arJ'arJ'�rlEJ'r1rJ�rJ'EPEPEIEPrJ�cP 5O 65 so u r ^IXC.tFG.4,sp.,,Ory 01 j x °rM15 SVS (.r5 101 ,Ipu.FC m WF, b N z, „ 1i � Cr It F 111. `V91\J Sr ol{: '.: 11+c1 Tax Map V&-7;q,k�Hon. .. Qj w o V) r P �• Z ]Z _ � _�uarv�tka-d 70 the. ° { IN LicPn9arJ La..� SUr�.hrjors NSA �ST/F+"f�� �re,enprF^h �. ^Faw 'irk EXISTING DECK TO BE REMOVED AND REBUILT TO CODE SAME DIMEN;IONS. w 03 At _ p�� tFy,l8UILfYrNG DEPA Th '- 802 9 AM TO 4 P FO' WING INSPECTIONS: V UNDATION TWO fG. — r FOR POUREDCONCRETFF < F�OUGH - FRAMING & L� &I ULATION LU 44FL, • CONSTRUCff UST _. LETE FOR C. A ,�dRUCTION tt' T i R498IFREMENTS — TW N.Y. - _ � �� t F+. �c it .EN RGy. D g3.NWUIRE$RON EE: ORn d1�81F�tl&LA ass OCCUPANCY OR USE IS FU! CERTI WITHOUT CERTIFICA ! � OF QCCUPAN fY vi Z.4ey 8CX7 -0 FOUA104770AI –- Caro vc>e 62o n JNc W uvo 1,410 1�t?L 2xl O _N) I t N �� T) D TJL.L'V D?�Z a7JL JL~ oT-rT✓JL J_.J l� t I I crr� Applicant/ Date. Owners Name: Z Reviewed: Architect/ _ Date Engineer: Submitted: IT a-3 SCTM #: District: 1000 Section: 3 i 131ock: �- Lot: C---.) Project /n� �o Subdivision Location: ��S �� 1�-� . G _ _ Name: Single& separate Required certtrtcation: (Yes/No) 62 , Req. Req. L Zoning District: (I of size: p�g� lr� Aclual: �, � .� l (Lot coverage r�Prolxised Req. Req, r Req r [Front Yard _ C- Proposed: [Side Yard _� Proposed: J [Rear Yard Proposrtt Project Description: AGENCUERMITS Permit SQUIRED FOR REVIEW jam. NO Number Suffolk County Health Dept. New York State D. E. C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation Flood Zone: Notes: � � 1 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE CHIMNEY r KS: DATE INSPECTOR 4 M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATIO I-IST [ ROUGH PLBG. [ ] FO ATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC CHIMNEY ,/ REMARKS: DATE 41 Wlt)�-�INSPECrTLI 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROU LBG- [ ] FOUNDATION 2ND NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLAC HIMNEY REMARKS: DATE INSPECT 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] IN TION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMAR 17 DAT<4 (// INSPE FULD INSPECTION REPORT DATE MINIM " 'e la FOUNDATION(1ST) ------ --- FOUNDATION(ZND) ROUGH FRAMING PLUMBING ,fe7 z:3J rn 4 INSULATION PER N.Y. STATE ENERGY CODE C FINAL ADDITIONAL COMMENTS .� /Ylo s Cz� e�c ^ O m az E, e s � o x 0 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 Survey www. northfork.net/Southold/ PERMIT NO. � / / Check Septic Form N.Y.S.D.E.C. Trustees Examined �I .2003 Contact: Approved 1J.22. ,20QjS Mail to: Disapproved a/c Phone: Expiration ate,2q _ Building Inspector AfI PLICATION FOR BUILDING PERMIT 1 R 1 /7/ 20 03 Date 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. 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. i (Signa]} caht name,if a corporation) P.O BOXJ' 2 GRN.PRT. NY. 11944 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder BUILDER Name of owner of premises WTT.T.TAM A BARBARA CLAYTON (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: 8125 MAIN RD EAST MARION House Number Street Hamlet County Tax Map No. 1000 Section 3t Blocker -Lot---.,E-- Subdivision Loth Subdivision Filed Map No. (Name) - —� 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy RESIDENCE b. Intended use and occupancy RESIDENCE 3. Nature of work (check which applicable): New Building Addition Alteration Repair / Removal Demolition Other Work (Description) 4. Estimated Cost $SOOo 00 Fee (To be paid on filing this application) 5. If dwelling, number of dwelling units 1 Number of dwelling units on each floor 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 Rear Depth Height Number of Stories Dimensions of same structure with alterations or additions: Front Rear Depth Height Number o tories 8. Dimensions of entire new construction: Front sAMP Rear Depth Height Number of Stories 9. Size of lot: Front Rear Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 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 14. Names of Owner of premises WILLIAM & BARBJUWess 81 25main rd. Phone No. 477-Ai 70 Name of Architect ' Address EAST-MARION - Phone No Name of Contractor Address Phone No. 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, ` d(�ay/o�f /➢n, u/?r 20 O�� � Not Public ,�' �� eof �� licant ELIZABETH A STATHI3 NOTARY PUBLIC,State of New York No.01 ST6008173,Suffolk Term Expires June 8,20 BILL ANID BAIZBAI�.A CLAYTON 8125 MAIN RD. EAST MARION NY. J PERMIT * 29119 Z - 5'-0" - - - -- - - -.._-- _ - - - .-- 31'-0' - . -- -- - - - - —__--_� ..—__.__.___. __ .--- --- - - --- 20.-0. ... _-. . �I AEXISTINC DECK TO BE REPAUSD --_._—._._.____.__--. 20'-8" —_ALL STATEEAND OCAL COFOT2M TO I _ GENERAL CONST. NOTES ,2'_,O• ALL REPAIRS TO CONFORM TO STATE AND LOCAL CODES ALL STRUCTURES TO MAINTAIN EXISTING DIMENTIONS AND CONFIGUATION —� - 10" CONC- PILLARS 1B'X18'XS'CONC.PAD8 40' BELOW GRADE O I O �—DBL. 2X10 GIRDERS tl I I EXISTING DECK TO DE REPAIRED ob 8 FLR. JOISTS 16'O.0 2X2 LEDGERS DECKS TO BE LACED TO BLD. EXISTING 2 STORY WOOD RCE GIRDERS FASTENED TO CONC. PILLARS WITH WETPOST ANCHORS JDN,CK#2 FRAMN, BLD. R.I4eSIDEN4X4 POSTS ROOF SUPPORT � .-•�--,--•--. I `I I ALL DECK FRAMING TO CCA. LINE OF ROOF ABOVE. - I b E DECKING TO BE 5/40X6' TREX. Mel Io c I I 4X4 POSTS ROOF SUPPORT i r - DECK HIEGHT ABOVE GRADE 17' Z— T DN. I I II I C I r a ___ i I 0 I zaena•o- �' ' G y.. 0 I _ _ `—�ONC. PILLARS--- }; DECK#1 –.._� —M ,�I .-^ _.._. __. _ ...... EDGE OF ROOF ABOE I I I a: :DECK#3 f _ — , l r r i ezu a•u.C. II I I — I m 4X4 POSTS ROOF SUIMORT------ L;1 ' f __�-�--- --- _ > ,4 5/4" X 6 DECKING �pBl. 2X70 GIRDERS 31-0" 1 2X8 FL ST i b"O.C. # 8" CONC. PILLARS " I , °•� ,fir L�' 1/2 LAGS TO BLD. - -- ------ - ------ -- ISI., 5'-3- D 15'-6' 4 EXISTING DECK TO BE RE RL _ f - 1 ALL REPAIRS TO CONFORM TO STATE AND LOCAL, CODES. i r FIRST FLOOR PLAN (EXISTING) 2X2 LEDGEII SCALE 1/4II PERMIT # 29119 Z REDAIR DECK #1 T6-BE AMENDED TO INCLUDE rEKo WET POST ANCHOR DECK #2 AND DECK #3 ALL, WORK TO CONFORM TO STATE AND LOCAL, CODES 40 ALL STRUCTERS TO MAINTAIN EXISTING CONFIGURATION AND DIMENTIONS. ynR 13"1 I BILL E BARBARA CLAYTON S /v q• <. scAjCALE nPlnoveour DRAWN m j Q onTr .r. ,� TYP. CONC. PILLAR `- - �NFSThit ' SCALE 1 112'- 1' -.a.. - tl 1 _ , . . t- „ . 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