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HomeMy WebLinkAbout25551-z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-26682 Date: 09/13/99 THIS CERTIFIES that the building ALTERATION Location of Property: 380 KNOLL CIR EAST MARION (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 37 Block 5 Lot 11 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 27, 1999 pursuant to which Building Permit No. 25551-Z dated FEBRUARY 8, 1999 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 INTERIOR ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ROBERT & BARBARA KELLER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 09/13/99 PLUMBERS CERTIFICATION DATED 08/06/99 HENRY SMITH c Building Inq actor 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. 25551 Z Date FEBRUARY 18, 1999 Permission is hereby granted to: R & B KELLER 380 KNOLL CIRCLE E MARION,NY 11939 for CONSTRUCTION OF INTERIOR ALTERATIONS FOR AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 380 KNOLL CIR EAST MARION County Tax Map No. 473889 Section 037 Block 0005 Lot No. 011 pursuant to application dated JANUARY 27 1999 and approved by the Building Inspector. Fee $ 75 . 00 Aut bri ed Signature ORIGINAL Rev. 2/19/98 TOWN HALL 765-1802 CC APPLICATION FOR CERTIFICATE OF OCCUPANCY A. This application must be filled in by typewriter OR ink and submitted to the buildir inspector with the following: for new building or new use: 1. Final survey of .property with accurate location of all buildings, property lineE 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 buildi and installations, a certificate of Code Compliance from architect or engineer responsible for the building. } �b. Submit Planning Board Approval of completed site plan r r��, B. For existingbuildings (prior to April 9, 1957) non-confo n , uses- din g AP � � t r,l P� " '.'pre-existing" land uses: � '� jj yy 1. Accurate survey of property showing all property lines, stlets,.__buiLding-4nd unusual natural or topographic features. 'I.0 G '''`'T 2. A properly completed application and a consent to ins Pe Tf d, F C1LD Ppitcai t--sigue qTy 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 Buildine - $100.00 3. Copy of Certificate of Occupancy - _ -25r,. 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . . . . .. QQ 2d{� .111. . . . . . . . . . . . . . . New Construction. .. . . . . . Old Or Pre-existing Building. .. . . . . . . . . . . . . . 22 Location of Property. .i9.go. . . fJOII LSI . . . . .FABS.T. .. .MA�!QN . . . . . . . . . . . . . . . . . . . . . House No. Street �/y Hamlet Onwer or Owners of Property.. . . . . . ! f T � B.A" tom• . . . . . . . . . . . . . . . . . County Tax. Map No 1000, Section. . . . . . . . .Block. . . . .J5 . . . . . . . .Lot. . . I. . . . . . . . . . . Subdivision. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Filed Map. . . . . . . . . . . .Lot /. . . . . . . I . . . . . . . . . f Applicant e. Permit No. . . . . . . . 5 . . . . . . .Date Of Permit :. . . . . . . .g�w . • . . . . . . . . . Health Dept. Approval. . . . . . . . . . . . . . . . . . . . . . . . . .Underwriters Approval. . . . . . . . . . . . . . . . . . . . Planning Board Approval. . . . . . . . . . .. . . . . . . . . . . . . Request for: Temporary Certificate. . . . . . . . . . . Final Certicate. . :: . . . . . • • Fee Submitted: ... . . . . . . . . . . . . . . . � /��I � •APPLICANT Town Hall, 53095 Main Road _ P. 0. BOX 1179 Fax (516) 765-1823 � cp ;� Telephone (516) 765-1802 Southold, New York 11971 c,p ' Y OFFICE OF THE BUILDING INSPECTOR TOWN OF SOUTHOLD C E R T I F I C A T I O N DATE: Building Permit No. a 5 SS Owner: 'Ro3,9-T ( JE e— (�pllease print) Plumber: t 1 Ln rul 5rv\-� (!� (pleaseprint) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbeyrs Signature) Sworn to before me this 1k day of Notary Public, _ D( _•fjDIl� County 3ERNAOETTE L,TAM 4TARY PUBLIC#4844893 State of New Yak —.1ding In Suffolk County �p C*MMW>�'O 4:A;n3 Sept,30, 19.3../ PAGE 1 THE NEW YORK BOARD OF FI E - W'NUD RWRITERS . 1001071 BUREAU OF ELECTRICtT,Y' 40 FULTON STREET, NEW YORt '-_I VN IQ036 SEPTEMBER 17 1999 1`j774� 99/99 ' N 501071' Date T Ari No. on i1e THIS CERTIFIES THAT � RP3IT NO. 2f5551 only the electrical equipment as described below and introduced by the applicant m nped,o Tk�above application number is in the premises of BOB RELLER, 380 KNOLL CIRCLE, GARDEN BAY ESTATES, EAST, t Ib�T; .NY in the following location; ❑ Basement ® Ist Fl. ❑ 2nd Fl. - Section Block Lot was examined on SEPTEMBER 13 F 1999 and found to be in compliance with the,National Electrical Code., FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. KW. 'AMT. K.W. AMT. K.W. AMT. H.P. 8 5 8 1' 6.8 1 1.2 1 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL REC'PT. TIME CLOCKS BE UNIT HEATERS MULTI-OUTLET ' DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMI. NO. A.W.G. AMC AMP 'AMT. AMPS.; TRANS. AMT H.P. NO.OF FEET AMT. WATTS 4 600 SERVICE DISCONNECTS- - - S E R ;V 'f -I'>C_ E _ METER NO.OF CC COND A.W. A,W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 RW 1 0 JW 3 0 3W J 0 4W PER 0 OF CC,COND- NO.OF H6LEG+ OF Hbt G NO.OF NEUTRALS OF NEUTRAL I OTHER APPARATUS: G.F.C.It-2 G & S CONTRACTOR LTC.#578 E Ldp 1. BOX 215 ANN SOUTHOLD, NY, 11971 GENERAL MANAGER 11 hr� Per This certificate must not be altered In any manner; return to the office of the Board If Incorrect. Inspectors may be Identified by their credentials. DOPY FOR BUILDING DEPARTMENT,. THIS COPY OF CERTIFICATEMlrS7 NOT QFC,,ALTERED IN ,ANY MANNERL , O�QgOFf0(,��oG 0 o • � Town Hall,53095 Main Road y� �� Fax(516)765-1823 P.O.Box 1179 Telephone(516)765-1802 Southold,New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD August 13, 1999 Mr. & Mrs . Robert Keller 17 Lawrence Lane Bay Shore, NY 11706 RE: 380 Knoll Circle, East Marion To Whom This May Concern: We are unable to complete your Certificate of Occupancy because of the following reasons: XX An,application for Certificate of Occupancy is not on file. (Enclosed) XX No Underwriters Certificate on file. XX The check is (not on file. ) $25.00 No Health Department Approval on file. No final inspection has been made. XX No Plumber Solder Certificate on file. (All permits involving plumbing being issued after April 1, 1984) . BUILDING PERMIT # 25551-Z Please contact our office on this matter. Thank you for cooperation. SOUTHOLD TOWN BUILDING DEPT. i 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 LATION [ ] FRAMING [ FINAL [ ] FIREPLACE A CHIMNEY REMARKS: dog - 9s� .r ®� — DATE INSPECTO D- 4't' s` COHMLNTS m c NDA TION ( 1st) En NDATION (2nd) z o� . ep e )GH FRAME & •PLUMBING y . m m SULATION PER N . Y. STATE ENERGY CODE y � H i FINAL x to ADDITIONAL COMMENTS: '° � ------------------ H O . 2 : x m 9 . r\ H R --.-� LVH\J Vll VG n.... FORM N0. I 3 SETS OF PLANS . . . . . . . . . . . . . . . JAN 2 7 TOWN OF SOUTHOLD SURVEY . . . . . . . . . . . . . . . . . . . . . . . . hi BUILDING DEPARTMENT CHECK . . . . . . . . . . . . . . . . . . . . . . . . . BLDG DEPT TOWN HALL SEPTIC FORM . . . . . . . . . . .. . . . . . . . TOWN F SOUTHOLD, N.Y. 11971 TEL: 765-1802 NOTIFY: kd CALL . . . . .y . .. . . . . . Fxaminued.....Gr:...R...., 19ap MAIL TO: . . . . . . . . . . . . . . . . . . . . Approved.......2.A.., 19.q.1 Permit No. .................................... Disapprovedarc .................................. .................................... _ .... ........... Building Inspector) AP ICATION FOR BUILDING PERMIT , / 1 19! INSTRUCTIONS a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector wit 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 giving a detailed description of layout of property must be drawn on the diagram which is part of this application. 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 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 arty purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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 Cxmty, Mew 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 build' or ssary inspections. �............... (S gnature of applicant,-or nam, if a corporation) (Mailing address of applicant) V—//-/,Oro State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder es ../.:.��'.' ............... ........................................................................... Name of owner of premises .�� � ..(y!9s2�j6fi�� xx'c- &Z .n!(/Cti`J �(�JL' .......... . .. . ......... ....... .................. (as on the tax ell or latest deed) If applicant is a corporation, signature of duly authorized officer. / ..........................I.............................. (Name and title of corporate officer)fi Builders License No. ....../ 9 0 ......... /t Plumbers License No. .......... /............. Electricians License No. ..................... Other Trade's License No. ....... ........... ago ,va�c. else-E I. Location of land on which proposed work will be done............................................................... `1ST...I'!i !` !Ll....................................................................... House Number Street Haslet County Tams Map No. 1000 Section .....:�.. .. Block ... ...... Lot ....�/......... Subdivision �"! -0/A�C�L,f e-fr!M.. Filed Map No. .27• Lot .z5/Z�p 2. State existing use and occupancy of premises/and intended use and occupancy of proposed construction: a. Existing use and occupancy ....... t SsAt.f: X ;gs ............................................. vwo b. Intended use and occupancy ........ 'tt!,.t � 716fAt ............................................ httc..":�i�4siir%e.t'�r,iatz,6C7' i .time+2aanigx�rru�aunrsa�*� 3. Nature of work (check rddch applicable): New Building .......... Addition .......... Alteration .......... Repair ............ Removal ............. Demolition ............ Other Work .................................. (Description) dD 4. Estimated Cost ..�edYA.4!?'.T..II,2��•ovO fee .. ? 75................................... (to be paid on filing this application) 5. If duelling, number of dwellinglunits ............ Number of dwelling units on each floor ................ Ifgarage, number of cars ...................................... 6. If business, comnercial or mixed occupancy, specify nature and extent of each type of use...................... 7. Dimensions of existing structures, if any: 8ront..(�'.!t....... Rear ............... Depth ................. Dimensions of sere structure Height ....... ..... '. Umber of Stories ................... . with alterations or additions: Front ..f......... Rear ............... Depth .................... Height .................... Umber of Stories ............... 8. DImensions of entire new construction: Prost ...—Z6....... Rear ............... Depth .............. Height ........................'I. timber of Stories ..................... 9. Size of lot: Front Rear .................... Depth .................... 10. Date of Purchase ...2..". ...... Nam of Former Owner ........ II. Zone or use district in which premises are situated ..................................... 12. Does proposed construction violate any zoning law, ordinance or regulation: ..NG................ 13. Will lot be regraded . '.......... Will exreas fill be removed from pr premise 3'RS regr •• .• D /7 40*W0c&_l0E GR. 2- 14. 14. Names of Owner of premises ..(`r!']'!�T /PJ�?� !1.� ....?9'�f./lLR9�/I/:`/..!l%46. Phone No. uo.S'� Nae of Architect ................ Address .............. Phone No. 02' OY4.. Nae of Contractor ........ ................... Address ...............................Phone No. ........ 15. Is this property within 300 feet of a tidal wetland? * YES ..V� .. I� .......... IF YES SWII>(HD TOM TR[♦ Mq PEL m MAY HE M"imm. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and indicate all set-back dimensions, from property lines. Give street and block number or description according to deed, and stow street nares and indicate whether interior or corner lot. 151 SUxcJ� i9T/79G SPATE Gr NW YORK, S.� Canty GF ........ LLE (.....................being duly sworn, deposes and says that be is ttce applicant (Name of individual signing contract) above named, Ikis the ...©. .......... ......................................................... ,. ............ (Contractor, agent, icorporate officer, etc.) of said owner or owners, and is dulylsuthorized 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 mariner set fortLp&Tftd,** filed therewith. Notary Public,State of New Yolk 9worn to beFpre me this No.01WA6085220 Sept•/' (( Qualified in Suffolk Couunt�yt a t........... of .0 r] 19��.Colamiseion ExPlret 10.19°Iq Notary Public / Y Cj�nnl7Yro of Annl irm.l"� BUILDING PERMIT RE EW CHECK LIST Application Name: 364toetoe-c- - MYL65 eLl, Architect/Engineer: Date Submitted: - q SCTM #: District: 1.000 Section: _ Block: _ Lot: Subdivision Name: 73D ANS Ctkc Le, c5-n lwoe(m &W�st&-r Req. Zoning District: [Lot size: Actual: Z74c>ze 1 [Lot coverage Proposed: ] Req. Req. Req. [Front Yard Proposed: ] [Side Yard Proposed: ] [Rear Yard Proposed: ] Project Description: &-t6JO6k, -rO AGENCY PERMITS Permit REQUIRED FOR REVIEW NA. 1 2 YES Number Suffolk County Health Dept. New York State D. E. C. Town Trustees V/ Town Zoning Board approval: :/ Town Planning Board approval: Flood Plane Elevation??? Flood Zone Notes; I Z3 A — DIS,4PPROvgL. - Sef4A,cK. D5 C Dec < PoDmuto P ooTu 72°20' 37.5 °07' 30" f 4," 3 MAIN o ZONE X ZONE q9y f, RD 25 pq q0 ZONE AE (EL 8) ZONE X QJ Town of NORTH Southold s s`°qti 6�s> 360813 O �q COASTAL BASE F APPLY ONLY LANI DO 0 p ,o ° O��p �gsoti ZONE ZONE o s X AE pP O (EL 8) F d �La 9� pR q�G KNOLL f j L i z, f a y a O�c� COASTAL BASE FLOC a APPLY ONLY LANDW/ J W Z Q a N Z_ ' 0 T-T 77" h Sri v1 V1 1. 14-tVATIONS Of RVERENd!) TO N,G.V.D. I 920 bAfUM RVEY, OF 01811WIUVOIONS ARE SHOWN TAUM-U 2 25 2© tXIST1140 LINCt APE SHOWN tHuti` 6ARDINg 8 " BAY ' ESTATES; -0, PIU Nd.' Iff kED SIEPtIE400 1017L A MAMON "ell SGUTHOLD SUS �OLl t llNtY: NEW YORk S.C. tAX, NO 1000-31-08- 1 f AREA = 111574.20 (TO M 0,266 loc. Pik 14 Al -jg (� :ki j A . , ANO r b t-a V, X R, 12 ll 42. �A 46 FIRST A COMPANY all XT f 3 I 'Al 4 A 4L V All 3 (A OF T T A 0. \& 4"y ilk 41' 4R A2, V M Of WAY I APPROVED AS NOTED �g �+ p�q�i "�,_ 9 � ccu pil' , : ", " DATE: O �.. USE IS U. �-.. .rv'��L FEE: NOTIFY BUILDING DEPARTMENT ,t>fIr �R���� y..=m ._110CATE 765-1802 8 AM TO 4 PM FOR IM FOLLOWING INSPECTIONS: OF OL " • 1 FOUNDATION - TWO REGU I FOR POURED CONCRETE 2. ROUGH - FRAMING & PttAi� 10-5 UNDERWRITERS MRTIFICATE 3. INSULATION REQUIRED 4. FINAL - CONSTRUCTION MLW pfd, BEC MPCO. ✓ — — 000 — — — — — — — — ALL CONSTRUCT{ON SHALL ET 1 -i; 00 C THE REQUIREMENTS OF THE N.Y TM STATE CONSTRUCTION & ENERGY �l } -- }----}', o CODES NOT RESPONSISLS FOF r ------------------ ° DESIGN OR CONSTRUCTION ERROR — — ---------- ---------- ; - i x ` r DiLO L __ _ _ ri A $ < � A I �—�xWMy i r � � t � N ------------------------�w r � I r riz c� p �y p �✓ v I �IeD ` .WLTiINY � IX5i WN_l i -cw' .bt( i5r r O EE R5aap.� I r �F V s• uta -:A DL-W�1`1L I 'p IL�C1 0. � Ric g� 0 4a 1 ibMRY 'r�G= �4B" u, a r r r � a r L_ Q4 u o r ; ------- -- — — I -- ---- -- xxa ccn , 1 ® c rl � o M12 r - ----- --- -------- --- _`_------ ---`——------- - - --- -—� r e '____ _________ c aorto"eT --J=: 1 -L_ r r 4 I�- ------------ _ r� I 6. Y b — PROPOSED�k MST FLOOR PLAN ® ^EW WML 4 PROPOSED PART FOUNDATION PLAN �N' li' `, [dmRIFICV IX,CNex![u2 / / WARNING: jj•$ Haspel CCel�rcme kkratun u�! ssM �NND 96398 a 6u dn, .,400 o he law lm m„ KELLER RESIDENCE PROPOSED " u,lsa a.teq unom toe:rmect agavrsion or,I,crose .o d, I,m oue my,tea I :r E-rohiteet, P.C. fpp�na✓s/atrEaariar✓s my.ay eea,.,y the�m n�darrte<t ' FOUNDATION PLAN AND • If m dlaotrm a mope,the dtmrg mm.cea drat on„to ore r;nn ue sea I s3uh;HORWAY FIRST FLOOR PLAN mp tn<natc4m NtereE oy-tdlo.M by ,-OC OFKBEA�YfWllImT Al - 1 M1rs zynNrme,toe Eate of sual aliaatmn. •^.fF.OEh:H.NtW YORKttlp2i6i2 mp o e Dfic desdwnoo or the at>enm I >aas6eTax6 eixac�s,aza9 EAST MARION, NEW YORK CONSTRUCTION DOCUMENTS Copyrig M1[ 1998 — ra Ho5pe1 � 1 Y I nal i O t it m i 26' eDE OP91MM �... FOS , , EPa [HIOENOY E1PE AS ----------- rCrsxT � REQU LD BY PARS?14 OF N.Y. ST>'EBUILDING CODE. =xisr woos , ro ee rse>tior=o WAl f Ku ® ew u PROPOSED SECOND FLOOR PLAN PROVIDE SMOKE-DETECTING ��-- -- _- 1NARIVt DEVICES AS TO PART,721.1 as' j LU SUILDING COOL F�� N a ,r [wrsiMFiux oYLKTT w r r WARNING - T 1 G,nisl mrc d tmuc w.n a xy w•'w 'g IH Il¢0 Wolim of the low for my persm. LZ'a Has el NKD »$6398 a.pdmyanaamet.e erect zpaxsm n KELLER RESIDENCE PROPOSED - f nyvoy oo,,the sei of mr Nan Q.Z'ChifeCt, P.C. SECOhD •« •,� /S NORO 26 d!N 99 It my tmet—.1 me sed of er ermnm I A00/T/GNS/. )FR4WNS N en dtoheh rs mate, It rn the wAM1ect$Idl affix to M1is,tan the sed S1 M1CIroR WAY wq mN the noloam'Ahmwe M1y fdlooeN br use oaceEAexassacw FLOOR PLAN M1rs dq�olu•e.FM1e Eate of ad oltcaLon. ON(gEAdi,NtIYYORKtt]U6L61= A 1 -2 Copy��ghl !agg _ � wo:pa, ma o wear,,tesvohm of the dlanean. h::rsseraoas FAxsfvfififazss EAST MARION, NEW YORK CONSTRUCTION DO MENTS