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Home My WebLink About29772-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY NO: Z-29748 Date: 10/02/03 THIS CERTIFIES that the building ALTERATION (aka 2415 Old Orchard Lane ) Location of Property: 40 SOUTH LA EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 6 Lot 4 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 30, 2003 pursuant to which Building Permit No. 29772-Z dated SEPTEMBER 30, 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 INSTALLATION OF AIR CONDITIONING AND GLASS ENCLOSURE OF AN EXISTING FRONT UNHEATED SCREENED PORCH AS APPLIED FOR "AS BUILT. " The certificate is issued to DONALD & ELIZABETH FRAZIER TRUSTEES (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1163610 09/08/03 PLUMBERS CERTIFICATION DATED N/A Authorized ignature 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. 29772 Z Date SEPTEMBER 30 , 2003 Permission is hereby granted to: DONALD H FRAZIER 1821 MOORING LINE DRIVE VERO BEACH FL, 32963 for INSTALLATION OF AIR CONDITIONING & GLASS ENCLOSURE OF AN EXISTING UNHEATED SCREENED PORCH AS APPLIED FOR at premises located at 40 SOUTH LA EAST MARION County Tax Map No. 473889 Section 037 Block 0006 Lot No. 004 pursuant to application dated SEPTEMBER 30 , 2003 and approved by the Building Inspector to expire on MARCH 30 , 2005 . Fee $ 300 . 00 1L 2L�G"u C,G�� 'Authorized Signature ORIGINAL Rev. 5/8/02 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: F 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$;5.00, Additions to dwelling$25.00,*Alterations to dwelling$25.00, Swimming pool $25.00, Accessory builiing$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. Temporary Certificate of Occupancy-Residential $15.00, Commercial $15.00 Date. /d - ( - P _� New Construction: Old or Pre-existing Building: (check one) Location of Property: 1SL,L La INk House No. Street Hamlet Owner or Owners of Property: �(� r� Ft 4 C� l c� '�Cv �t T(C\Z� e_(e I r It•� Q Suffolk County Tax Map No 1000, Section 7,�-7 Block Lot Subdivision Filed Map. Lot: Permit No. Date of Permit. �� '�C) -O_7z') Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ C`D C � �$tlI Appli nt Signature n��r n�r1: 1:1�n�n�n�nr r..1C. 0 E I E-!E-! - - ��n�nrr�n�n�n�� 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 BUREAU OF ELECTRICITY C5 55 40 FULTON STREET — NEW YORK, NY 10038 C5 5 CERTIFIES THAT Upon the application of upon premises owned by 5 5 5 ELIZABETH FRAZIER ELIZABETH FRAZIER PO BOX 598 2415 OLD ORCHARD LN 5 7C7C7CC5 EAST MARION NY 11939 EAST MARION, NY 11939 5 Located at 2415 OLD ORCHARD LN EAST MARION, NY 11939 C� 5 Application Number: 1163610 Certificate Number: 1163610 5 Section: Block: Lot: Building Permit: BDC: NS11 �5 Described as a Residential occupancy,wherein the premises electrical system consisting of c.I 5 electrical devices and wiring, described below, located in/on the premises at: 5 central air cond.,Attached Garage,Outside, Lj 5 5 55 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 8th Day of September,2003. r5 5 Name QTY Rate RagU Circuit Type 5 5 Appliances and Accessories 5 LJ' Air Conditioner 1 0 36.000 BTU �5 5 Wiring and Devices 5 5 Disconnect 1 0 60 amp Air Conditioner 5 A visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to be 5 5 in comfotmance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5 5 5 5 5 5 5 5 Sea, 5 5 1 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 a c lC IC fC fC fC fC fC fC fCPr�C lC fC fC l@I�C IAC fC fL foC fC fC faC l@I�C fC fIJC fC lC fi?PC fC fC.faC.faC.faC.IOmrJ'aC @ m fC LYPL L—rL3 .flJi3I�CPC.LJ'dJ'L3 r5r—L3r PcPLv "t all el"t"bem 40y, r rwfir -b M4P of: P2orEszry S4 bra,»f/t d rn -; pi swgbac co, C2mrMS,ofnce «s map Ab;Zdw DON4 ..D 15/24 I `! Town! oo Sou7,"Ot-oJN.Y OAK Nn a 'Ari R Aoc rio ,' / SU G- CULJ TG'K m 'L�"s rtq : �' 'rfY °$� . 9r''''` , . EC 72a ; 1 z z qhr t R (jj 1�i,F IOOCJr Cf C3 761 • s�R` 4;. 1 A iCr I,�r E L p � � � AJNG ,v;Eo c N_DEr�D 1 3 m .UP 4SH/.L RUN �� L • O K0 _. r 5URVEY Q T T': i£ 0. A-Z!-Cy AND ENDI C t O k 640ta,A".D T m S $ D Ai Fl L NDING MSTI- _, y. 2 i A T. .1 /� ) l iU'O G,-A s, ES A..NOT TRANMR.ABLE VVY 77 e IOC-. / -He NO.79-52-Ag -i 0 ' O ADD T OOAL NSTITUtIONS OR SUBSEQUENT Lt�----'.- -�✓--- - - 4' - rrs jp � S.SS"58'3Q'"W. -94.S$ • ,, ,�p�,,� Life Tifle ltmLw imo b I 1 ., as st w-va ed Novi S T1s s u�rAn�.wynrtx'p��tt1orrF -30" �' ( Y2rClCVAN�lYL��C M - 90 7 _ 6 _ y TOWN OF SOUTHOLD PROPERTY RECORD CARD 1,,"4 " # �-- >WNER STREET ,� ,`i VILLAGE DIST. SUB. LOT , "/ =ORMER OW N E ACR. jf 1-jW/t E. N e yetl S W TYPE OF BUILDING _S. / D SEAS. V FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL � DATE REMARKS i to 1), feAZiER n s 2 �7/- F,Ja d—r- z rr iu s a� AGE BUILDING CONDITION JEW NORMAL BELOW ABOVE =ARM Acre Value Per Value Acre illable 1 illable 2 Mable 3 'aodland vompland FRONTAGE ON WATER 'ushland FRONTAGE ON ROAD y7 73 17 OjJe�� ouse Plot DEPTH BULKHEAD )to I DOC K FIELD INSPECTION REPORT DATE COMMENTS 90 � 3 FOUNDATION (1ST) Q� y -------------------------------------- FOUNDATION -----------------------------------FOUNDATION(2ND) y z � o c y ROUGH FRAMING& PLUMBING - H C' INSULATION PER N.Y. �1 STATE ENERGY CODE FINAL ADDITIONAL COMMENTS N- 0 z m - lu rn k �3 Q O Ll z x l m 1r y b TOWN OF SOUTHOL-D 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 q Survey www. northfork.net/Southold/ PERMIT NO. �/ 77� Check Septic Form N.Y.S.D.E.C. Examined 2®3Trustees Contact: a(%,,py P,-6 ui d Approved ,2003 Mail to: e, o .PnX (-7 ? Disapproved a/c &TIP,,art , my I t�w y Phone: 631 477-£s6 G7 Expiration 3 o , 20 e J �Ax u 77 ' 260 1 Building Inspector APPLICATION FOR BUILDING PERMIT Date ,S2 1 0 12003 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 MADL 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. ,%(Signature of applicant or ame, if a corporation) P 0 Pax s4g 2as1 mAetoll It93�r (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder 0toAQ ,- Name of owner of premises_ l r Z G 10�eq_U_ Frg r .t��_ (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: ec aak (bu e f a S' 0(cl rfh eA Wag- 0J House Number Street Hamlet L+/ County Tax Map No. 1000 Section 3 � Block to Lot Subdivision GArd wenn, f (CLdPe SPC ZFiled Map No. 27S Lot UOrW 0011 o r_[ o+5 (Name) fto4 7-Zt-19;kI { Uop+h balfof U)4E O poi cf+'otu ` 3r {pr✓n if "P)` OtdrU l Otrc 0,1C1 t-I O�U,,4S Sc��P1� ON bk-- IjoilP+ O�' Pnclo-�Dd glass W100ovv -Fronk Pi'fLam,_ 2. State exisluag use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy g,OO(p :fAM 1!j d j&)eIIt,d 4 b. Intended use and occupancy S A le Ct r",1 d w IIIA burin ✓ 3. Nature of work (check which applicable): New Building Addition Alteration Repair Removal-Demolition-Other Work ^!�—� - CDd+rq ( q , r- 4. (Description) 4. Estimated Cost �, y`�`� Fee 14 a0c) hclosj L Ow oLeoL-- (To be paidfiling ling this application) 5. If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars f 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. U1 Pok' c ed atJa la cJ- 7. Dimensions of existing structures, if any: Fron ear 1 _Depth '%S o p Height Stnr�n� _Number of Stories v Dimensions of same structure with alterations or additions: Front 00 CNar7ge- Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front L)10- Rear Depth Height Number of Stories 9. Size of lot: Front ( E'er f@2{�_=Rear r a,3 Ael _ Depth Ll .k$ 10. Date of Purchase 9-4- 19 r(-_Name of Former Owner� 11. Zone or use district in which premises are situated R' 4'p 12. Does proposed construction violate any zoning law, ordinance or regulation? YES_NO)L 13. Will lot be re-graded? YES_NO'Will excess fill be removed from premises? YES_NO� gqr 14. Names of Owner of premises C I` � k AFr4dflrpr Am YYIaootj ess PO k o,e bR t W tj Phone No. 41-)- l I&2 Name of Architect JDl 2eP» RSc cto ifi Address Phone No -VK--a9sa Name of Contractor Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO e� * 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 -qa�l(-1 (, bee o—jto�r being duly sworn. deposes and says that (s)he is the applicant (Nam of individual sigrung contract) above named, (S)He is the l A.0Z— (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 I p+h day of SePJem eO 2003 MAA,g11 rWl a d 3y, .amu Notary Public Signature ofAplSiicant JENNIFER B.GOULD Notary Public,State of New York No.02605024640-Suffolk Counly Commission Expires March 14,20Q:b , 1 _ _. I I -_ ^ I I L . , — t ariui � � I EfkW iRE EUJI ED — _ - -:: H EDAS.N TED-- .A -- - — / AtCCOt�STRUCTION SHA <i;(rL � Yr/�Tu rk Jk DAi : t 30 3 B.P.!�THE FiEOUIREMENTSO THE axle' I ^J ;, per' f •r + EEE By, CADESOFNEWYORKSTA E. _ "' ^' NO IFY BUILDING DEP RTMEM AT F-"'t�j ( ---- 765.78 20 - SAM TO 4 PM FOR THE FOL OWING INSPECTIONS: \ VV 1. F UNDATION - TWO REQUIRED F R POURED CONCRETE i f 2. R UGH - FRAMING 8 P U BIN . tip lv� Anel N y/ �n4. F AUT CONSTRUCTION M ST� ��L-r— ALL FPLETE FOR C.O. O STRUCTION SHALL MEET THE . ---._____. - -------; - Y - -., - . _- i - DES YRE ORK EMENTS OFTHECODES OFNEW - STATE. NOT RESPONSIBLE OF NE(yy GN OR CONSTRUCTION ER S - DESS OS I� USE NCY OR o / fes , _ UNLAWFULIV y WITHOUT CERTIFICATE D. U62s%o OF OCCUPANCY ° BB'oN" p`''- � g 2�'n UOT- D aar p Ix.� .Frz�.,H,�ra�> L.�-I.11<= � M�Ic�•I � " SCALE I »ipP APPROVED BY OgAWN E\' �A]Flr DATE. OAAWIN0 NOMBER�� ` I cI