HomeMy WebLinkAbout20895-z
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FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No Z-22391 Date JUNE 15, 1993
THIS CERTIFIES that the building ACCESSORY
Location of Property 520 RABBIT LANE EAST MARION N.Y.
House No. Street Hamlet
County Tax Map No. 1000 Section 31 Block IS Lot 11
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated AUGUST 14, 1992 pursuant to which
Building Permit No. 20895-Z dated AUGUST 18, 1992
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 ALTERATION TO EXISTING NON-HABITABLE 10' x 24' ACCESSORY ONE
CAR GARAGE AS APPLIED FOR.
The certificate is issued to ROY & JOAN BERMAN
(owners)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A
UNDERWRITERS CERTIFICATE NO. N-253087 - OCTOBER 8, 1992
PLUMBERS CERTIFICATION DATED JUNE 1, 1993 - KING PLUMB. & HEAT. INC.
qgrldifig Inspector
Rev. 1/81
i
FORM NO. s
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
N°_N° 20895Z Date 11911?
Permission is hereby granted to: -fi
..Cry?!:{...
to ......1Y......fl
..Q 2...........r:. \ .........!1~.!`~1.
/ G...A:............................
at remislocated at
6--~ *
County Tax Map No. 1000 Section ~.d........... Block .....A4?............ Lot No...... &
pursuant to application dated 19.,9 , and approved by the
Building Inspector.
.•..aSvo....
Fee $
/Kilding
Inspector
Rev. 6/30/80
i Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT r JUN I I s ,
ofZ TOWN HALL
G? ( 765-1802
t
APPLICATION FOR CERTIFICATE OF OCCUPANCY
A. This application must be filled in by typewriter OR ink and submitted to the building
inspector with the following: 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).
r3. Approval of electrical installation from Board of Fire Underwriters.
v4. Sworn statement from plumber certifying that the solder used in system contains
less than 2/10 of 17 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.
Ali. 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 a 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 - $5.00 over 5 years - $10.00
4. Updated Certificate of Occupancy - $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
Date 41Ill q3
New Construction........... Old Or Pre-existing OBuildin)g,,.?
Location of Property... S.Z0
.Akh;'.14n,i.............~cit.
House No. f _ /~Street Hamlet
Onwer or Owners of Property RD!~.NmA.-r_v..4,.~fX{.rYYj{C!'1
County Tax Map No 1000, Section :3J...... Block I.P........Lpt...J
Subdivision Filed Map............ Lot......................
Permit NO... ..Date Of Permit g//J g/T~...Applicant ~Q" 1~QY'Ymyl
Health Dept. Approval ..........................Underwriters Approval.........................
Planning Board Approval
Request for: Temporary Certificate........... Final Certicate.~C
Fee Submitted: $Q.5nR o
O y rite
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TEL. 765-1802
o P,TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 1179
TOWN HALL
SOUTHOLD, N.Y. 11971
C E R T I F I C A T I O N
Date
Building Permit No.Z -o2D(~-~
Owner Ls<Uc2oz~^~T J
please print)
Plumber P/LL~J„ac of 1,tic_
(pl ase print)
r
I certify that the solder used in the water supply system
contains less than 2110 of to lead.
(plumber's sign ure)
Sworn to before me this
k,7 day of v.
19
Notary Public
County
110tary Public,
ROBERT I. SCOII,1E
NNOToARY 250 9I,I~+ e%Coa Y
Term E*M M:y 31.19
INSPECTORS y<3'JF1 f3L~l '
(516) 765-1802 r®~o COG
VICTOR LES5ARD,Principal ~.z tipSCOTT L.HARRIS,Supervisor
CURTIS HORTON, Senior y e': - Southold Town Hall
VINCENT R. WIECZOREIZ, Ordinance P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire Southold, New York 11971
Building Inspectors Fax (516) 765-1823
THOMAS FISHER Telephone (516) 765-1800
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 18, 1992
Roy & Joan Berman
79 Mackey Avenue
Port Washington, N.Y. 11050
Re: Building Permit #20895-Z
Premises: 520 Rabbit Lane, East Marion, N.Y.
Suff. Co. Tax Map #1000-31-18-11
Dear Mr. & Mrs. Berman:
Enclosed is building permit #20895-Z for the alteration to
your non-habitable accessory garage at the above premises.
Do not proceed with any more construction until an
inspection is made of the job as of this date. Please call this
office to set up an appointment so that we may make the
inspection
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
GJF:gar
encl.
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f2AB&I-r : PRIVATE) LANE
509.6b TV BAY AVE.
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INSPECTORS 751802 o~~SpFFO(,~ co
SCOTT L. HARRIS, Supervisor
VICTOR LESSARD, Principal
CURTIS HORTON, Senior cc = Southold Town Hall
VINCENT R. WIECZOREK, Ordinance P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire I!V Southold, New York 11971
Fax (516) 765-1823
Building Inspectors Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
August 18, 1992
Roy & Joan Berman
79 Mackey Avenue
Port Washington, N.Y. 11050
Re: Building Permit #20895-Z
Premises: 520 Rabbit Lane, East Marion, N.Y.
Suff. Co. Tax Map #1000-31-18-11
Dear Mr. & Mrs. Berman:
Enclosed is building permit 120895-Z for the alteration to
your non-habitable accessory garage at the above premises.
Do not proceed with any more construction until an
inspection is made of the job as of this date. Please call this
office to set up an appointment so that we may make the
inspection
Thank you for your cooperation in this matter.
Very truly yours,
SOUTHOLD TOWN BUILDING DEPT.
Gary J. Fish,
Building Inspector
GJF:gar
encl.
(516) 7651802 p~pS~fFO(,~caG
VICTOR LESSARD, Principal SCOTT L. HARRIS, Supervisor
CURTIS HORTON, Senior y z Southold Town Hall
VINCENT R. WIECZOREK, Ordinance p P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire A p!~ Southold, New York 11971
~Oj Fax (516) 765-1823
Building Inspectors Telephone (516) 765-1800
THOMAS FISHER
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
STOP WORK ORDER
TO: ROY & JEAN BERMAN
79 Mackey Avenue
Port Washington, N.Y. 11050
YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT:
520 RABBIT LANE, EAST MARION, N.Y.
TAX MAP NUMBER - 1000-31-18-11
Pursuant to section 100-283 of the Code of the Town of
Southold, New York, you are notified to immediately suspend all
work and building activities until this order has been rescinded
BASIS OF STOP WORK ORDER:
THE GARAGE IS BEING ALTERED WITHOUT HAVING FIRST
OBTAINED A BUILDING PERMIT.
CONDITIONS UNDER WHICH WORK MAY BE RESUMED:
WHEN A BUILDING PERMIT HAS BEEN ISSUED BY THE
BUILDING INSPECTOR.
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
DATED : AUG. 11, 1992 l/ u~
VINCENT R. 1ECZ REK
ORDINANCE INSPECTOR
(Cert. Mail) Q
5'IHN - 9616 ' (J C^44~~ c At"
(5 6) INSPECTORS 802 o~pS~FFO(,pco
mo`t` Gy SCOTT L. HARRIS, Supervisor
VICTOR LESSARD, Principal
CURTIS HORTON, Senior C* = Southold Town Halt
VINCENT R. WIECZOREK, Ordinance p P.O. Box 1179, 53095 Main Road
ROBERT FISHER, Assistant Fire y 1%N- Southold, New York 11971
'~Oj ~
Building Inspectors Fax (516) 765-1823 THOMAS FISHER Telephone (516) 765-1800
GARY FISH
OFFICE OF BUILDING INSPECTOR
TOWN OF SOUTHOLD
ORDER TO REMEDY VIOLATION
Date: August 11, 1992
TO: Roy & Jean Berman
79 Mackey Ave.
Port Washington, N.Y. 11050
PLEASE TAKE NOTICE there exists a violation of:
Zoning Ordinance - CHAP. 100
Other Applicable Laws, Ordinances or Regulations
at premises hereinafter described in that:
A GARAGE LOCATED IN THE FRONT YARD IS BEING CONVERTED INTO A
DWELLING UNIT WITHOUT A BUILDING PERMIT.
In violation of ART. III A-100-30A.2A & ART. XXVIII 100-281
YOU ARE THEREFORE DIRECTED AND ORDERED TO comply with the
law and remedy the conditions above mentioned IMMEDIATELY
The premises to which this ORDER TO REMEDY VIOLATION refers
are situated at: 520 RABBIT LANE, EAST MARION,
SUFFOLK COUNTY, NEW YORK
SUFFOLK COUNTY TAX MAP #1000-31-18-11
Failure to remedy the conditions aforesaid and to comply with the
applicable provisions of law may constitute an offense punishable
by fine or imprisonment or both.
Vincent R. Wiecz ek
ORDINANCE INSPECTOR
encl.
(Cert. Mail)
Memorandum from
BUILDING INSPECTORS OFFICE
TOWN OF SOUTHOLD
TOWN HALL, SOUTHOLD, N. Y. 11971
765.1802
OCAUT? A i 0+P, H+45 Ko 14 tC-AEWsF
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
RE ARKS: ` ~7n 4,a ~n
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DATE x~ INSPECTOR ~"l
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k~ 765-1802 S l
D o1 BUILDING DEPT,
INSPECTION
UN I 1ST ( ] H LBG.
1 2ND [ T ON
REMARKS:!)() ( ~`!L(t 1 uk _
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765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ J FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:
DATE J~ INSPECTOR
1
M-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
REMARKS:]--
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DATE Z- INSPECTO
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~<2 1-74 M-1$02
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST F ] ROUGH PLBG.
FOUN ION 2ND [ ]INSULATION
MING [ ] FINAL
REMARK : O
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DATE INSPECTOR
765-1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ I ROUGH PLBG.
[ ] FOUNDA N 2ND [ ] INSULATION
] MING [ I FINAL
REMARKS : GtJ
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DATE INSPECTOR r
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STATE ENERGY
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• - - SO,NRO OF HEALTH
FORM NO. 1 3 SETS OF PLANS
AUG % TOWN OF SOUTHOLD SURVEY . . . .
wJ , 4 1J9.O02 BUILDING DEPARTMENT CHECK -
TOWN HALL SEPTIC FORK . . .
SOUTHOLD, N.Y. 11971
TEL.: 765-1802 L:OTIF'd : ? Q
C ALL / ~-JJ.
t:xamined , yf,p...... 19! '',,yy~~ t1A I L TO:
Approved ......D.~.P 1991'. Permit No....sr I&A . . .
Disapproved a/c
.
(B dt Inspector)
APPLICATION FOR BUILDING PERMIT
Date . . . . . . . 19
INSTRUCTIONS
' a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
,ts 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
r areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
ation.
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 issued a Building Permit to the applicant. Such permit
ialI be kepi on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole of in part for any purpose whatever until a Certificate of Occupancy
rall 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
uilding Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
egulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
he applicant agrees to comply with all applicable laws, ordinances, building code, housing co and gulations, and to
imit authorized inspectors on premises and in building for necessary inspections.
:~/(Signature of applicant, or e, if a corporation)
J
ng'. ,-1~u~K
(Mailing address of applicant
tate whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
U XV1Ulr
....j...............-.1......................................................
ame of owner of premises ...Y?y. I( 74.5 ~cir~lrY7XIr~ • , , , , . , , ,
(as on the tax roll or latest deed)
applicant is a corporation, signature of duly authorized officer.
NIA
(Name and title of corporate officer)
Builder's License No. ~?),$0. ff ~ .
Plumber's License No. , ~f
Electrician's License No. .L,: of R. c
Other Trade's License No.
Location of land on which proposed work will be done .
fv?J hQl){Ji`f,Lar2C.
. . . . . . . ......................(J_ i~)7..................
.
IJouse Number Street Hanilet
County Tax Map No. 1000 Section ~ Block 1 Y-'........... Lot
Subdivision Filed Map No. Lot...............
(Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy C;ci tv cfo, Loun((rr1. r~ f2~t ......n, _)tp,t`!4,'~;!t~@;....'.: ~;'.;°,`A, , , , , , , , ,
b. Intended use and occupancy 7r(::r'~~Sb~ti~)<i) f>/,!l{>r i t!>! ~Qclr Gl{ ~iL~( n jC.KVtj1? J
3. Nature of work (check which applicable): New Building Addition Alteration 11__~
Repair Removal , Demolition Other Work
(r.~r7(;rert~sY L f (Description:
4. Estimated Cost ...z7.i~Or,ot?...rC?1fl)4.iztl, $ f.,rFee
G },p n~df nt;j~ tib yt 3ao,t o }~tt v}} lx.t 9t I, 1 5,3, 0;7 Lral~T i/;f)t (to be paid on filing this application)
5. If dwelling, number of dwelling units Number of dwelling units on each floor'........... .
If garage, number of cars I A q ! .
.
6. If business, commercial or mixed occupancy, specify nature and extent of each type of use .
7. Dimensions of existing structures, if any: Front 14.'........ Rear /A Depth 44J ,
Height ...41 Number of Stories J. .
Dimensions of same structure with alterations aredditions: Front .>R Rear . ; ? i fqv
Depth ........R 0.1& Height -4rl0: Number of Stories S.Z?zti
8. Dimensions 2ont tire ew construction: Front Rear............. Depth .
Height Number of S(ones ' .
9. Size of lot: . r~ : . Rear Depth 3
10. Date of Purchase ......101 1 8 Nppc of Former Owner CJ t 1?tY!zf Y glt , , , , , . , ,
1 7, ar or use district i : tvhi h p.em.ses _.e situated Q} n : +S .
12. Does proposed construction violate any zoning law, ordinance or regulation:
13. Will lot be regraded , . IJO Will excess fill be removed from premises: Yes
14. Name of Owner of pre3ruses j?rnu{a~ , . , Address Flt f 441 ~~hr( Phone No. Lt?~:. ~ ! .
Name of Architect . f?r L ~ Address t~.(S~~'. J' f . Phone No. t d`CQ9... .
Name of Contractor gn k? ?)p. ;4-NKi'S, ~iYx c Address Pone No
15. Is this property within 300 feet of a tidal wetland? *Yes.... No,N.......
*If yes, Southold Town Trustees Permit may be required.
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions froi
property Lines. Give street and block number or description according to deed, and show street names and indicate wheth;
interior or corner lot.
STATE OF NI,OK~~l / S.S
COUNTY OF "S
~1JAf7, f~QY? 210.Y1 being duly sworn, deposes and says that he is the applican
(Name of individual signing contract)
above named.
W ~
fcistlrc Q..-......
(Contractor, agent, corporate officer, etc.)
)f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file thi.
pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that tht
vork will be performed in the manner set forth in the application filed therewith.
iwom to before me thr r, `
-IIC`6'U~ c
.....da of.... :?t' 19 r
votary Publ. County
CLAME L. GIEW
Notary Pubtk:. State of Igew Ybrk
No. 4879W5
QuardWin Suffolk Counq (Signature ofapplicant
CmuWalm Expires December 8.19.E
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Phone 477-0400 Main Road
GREENPORT, N.Y. 11944
22:
NaTE ~ Vim' ~F~ fW_ o~~ne~~sl~~iS
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DWG. GARhGE p~P
PLANNO. 1LI73 A SCALE 74 = ~'cr ~"P~
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APPRO ED AS N =8 P. DOTED PLUMBER CERTIFICATION ON LEAD CONTENTBEFORE OCCUPANCY OR
DATE: S.P. A CERTIFICATE OF OCCUPANCY
FEE: -JJ' BY:, AT ooBy., DEPARTMENT SOLDER USED IN WATER USE IS UNLA
NOTIFY BUILDING DEPi BUILDING WFUL
765-1802 9 AM TO 4 FOLLOWING INSPECTIO 12 9 AM TO b PM FOR THE SUPPLY SYSTEM CANNOT CERTIFICATE /ING INSPECTIONS: % LEAD.
1. FOUNDATION - TV IOATION - TWO REQUIRED EXCEED 2110 of 1 % LEAD.
FOR POURED CONCF IOURED 3H - FRAMING
1 ROUGH - FRAMING 3H OF OCCUPANCY -FRAMING l4 PLUMBING
3. INSULATION LATION p~~~~~~/~
4. FINAL - CONSTRI BE COMPLETE FOR C L - CONSTRUCTION MUST Pwmsm OMPLETE FOR C.O. ALLIPLUMI RW MMfR
ALL CONSTRUCTION )NSTRUCTION SHALL MEET & AIURRU IESNEEO
THE REQUIREMENTS :QUIREMENTS OF THE N.Y. TESTMBEFORE COMER110
STATE CONSTRUCTIO! CONSTRUCTION 6 ENERGY .
CODES. NOT RESPC DESIGN OR CONSTRU( NOT RESPONSIBLE FOR I OR CONSTRUCTION ERRORS
UNOEANBIIE
eeywery
Hi i~ li L[C 4k.1~ G.Z J1Ll.S. Paw ffx&
Phone 477-0400 Main Road
GREENPORT, N.Y. 11944
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PLAN NO JLJ73