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Home My WebLink About27205-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28308 Date: 04/01/02 THIS CERTIFIES that the building ALTERATION Location of Property: 50 RABBIT LA EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 18 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 21, 2001 pursuant to which Building Permit No. 27205-Z dated APRIL 2, 2001 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 ROOF REPAIR TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ANTHONY S & CAROL A SENFT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1039753 03/18/02 PLUMBERS CERTIFICATION DATED N/A Authorized Si ature 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. 27205 Z Date APRIL 2 , 2001 Permission is hereby granted to : ROBERT KOCH 290 RACQUET CLUB RD FORT LAUDERDALE FL, 33326 for EMERGENCY ROOF REPAIR TO CONDITIONS NOTED ON SUBMITTED PLANS . at premises located at 50 RABBIT LA EAST MARION County Tax Map No. 473889 Section 031 Block 0018 Lot No. 002 pursuant to application dated FEBRUARY 21, 2001 and approved by the Building Inspector. Fee $ 75 . 00 A th ized Signature COPY Rev. 2/19/98 Form No.6 r TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY J�� 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,; auusa nat ra 7 topographic features. r i i 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 Efortp). ; 3. Approval of electrical installation from Board of Fire Underwriters. L 9 2002 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 buil 'ngs End installations;-a-c4tific to 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 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. Photocopy of Certificate of Occupancy-$0.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy- Residential$15.00, Commercial $15.00 Date. vZ O L ;z New Construction: Old or Pre-existing Building: _(check one) Location of Property: �Z7 ��e 4ehl e House No. LL Street Hamlet Owner or Owners of Property: /`79h/Tk/V c%R,)& Suffolk County Tax Map No 1000, Section 3 l Block /9 Lot Subdivision —7 Filed Map. Lot: Permit No. / D 5 Date of Permit. Applicant: Health Dept.Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Su mitted: $ L�O i7 C d SJ ApplicaXt Signatur v ��r�� SBY THIS CERTIFICATE OF COMPLIANCE THE 5 F FIRE UNDERWRITERS 5 5 NEW YORK BOARD O 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 S rSj CERTIFIES THAT 5 5 � 5 SUpon the application of upon premises owned by 5 5 55 5 A.SENFT ANTHONY SENFT5 5 299 POND ROAD 50 RABBIT LANE 5 5 BOHEMIA,NY 11716 EAST MARION, NY 11939 5 5 5 Located at 50 RABBIT LANE EAST MARION, NY 11939 � 5 Application Number: 1039753 Certificate Number: 1039753 5 5 5 5 Section: Block: Lot: Building Permit: BDC: NS11 5 5 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 5 electrical devices and wiring,described below, located in/on the premises at: 5 5 5 First Floor, 5 5 5 5 5 5 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 l8th Day of March,2002. 5 SName QTY Rate Ratin.Z Circuit Type 5 Alarm and Emergency Equipment 5 5 Sensor 3 Smoke 5 5 Wiring and Devices S 5 Outlet 8 Fixture SReceptacle 5 General Purpose 5 Switch 3 General Purpose 5 Fixture 6 Incandescent 5 rj Fixture 2 Fluorescent 5 C5'D Dimmers 3 600 W 5 5 Paddle Fan 2 5 5 Receptacle 1 GFCI 5 5 S 5 5 5 5 5 seal 5 5 5 5 of 5 5 1 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 o �0rn�r, BUILDING PERMIT REVIEW CHECK LIST Applicant/ Date Owners Name: Reviewed: Architect/ Date Engineer: Submitted: SCTM #: v District: 1.000 Section: _� Block: �(� Lot: Project Subdivision Location: 4Name: Single&separate Required certification: (Yes/No Req. �� Req. Zoning District_ [Lot siu: Actual: r] (Lo(coverage -Proposed:_] Req. Req. Req. [Front Yard Proposed: [Side Yard Proposed: 1 [Rear Yard Proposed: ] Project Description: AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. k Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: ANTHONY & CAROL SENFT 299 POND ROAD BOHEMIA, New York 11716 631 567 6034 February 21, 2001 Mr. Edward Forrester, Director Code Enforcement Southold Town Hall 53095 Main Road PO Box 1179 Southold, New York 11971-1179 Dear Mr. Forrester, On January 2, 2001 we purchased a home at 50 Rabbit Lane, East Marion. Unfortunately, for us, by mid January as the two previous snowfalls began to melt we learned that our roof was leaking. We are writing to you today to ask that you expedite our permit to construct a new roof as soon as possible. We normally would not ask for extra consideration but at this time the ceiling inside the house is beginning to fall down and we are extremely concerned about the damage that the water is causing inside. At this point the house is basically uninhabitable. We thank you for your time and consideration and await your response. Sincerely, Anthony & Carol Senft c � j APPLICATION # r ' 9 l PAGE I o( 4 -- ,e __..._ -___ TOWN OF S O U T H O L D Pmbdit'1_r� EVE-LOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. SECTION 1 GENERAL PROVISIONS (APPLICANT to read and siQn)- 1. No work may start until a permit is issued. 2. The permit may be revoked if any false statements are made herein_ 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate of Compliance is issued. 5. The permit will expire if no work is commenced within six months of issuance. 6. Applicant is hereby informed that other permits may be required to fulfill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Administrator or his/her representative to make reasonable inspections required to verify compliance. 8. I,THE APPLICANT, CERTIFY THAT ALL STATEMENTS HEREIN AND IN ATTACHMENTS TO THIS APPLICATION ARE, TO THE BEST OF MY OWLEDGE,TRUE AND ACCURATE. (A.PPLICANT'S SfbfATURE) DATE 2— SECTION 2 PROPOSED I)OiLOPMENT (Tb be completed by APPLICAN n NAME ADDRESS TELEPH NE APPLI BUILDER Adiv SAN f ENGINEER/. PROJECT LOCATION: • To avoid delay in processing the application, please provide enough information to easily identify the project location. Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest intersecting road or well-known landmark. A sketch attached to this application showing the project location would be helpful. i .�D /��1��` �,r� ��/�-5/ ice/��'�'��•.�`y' FDP(93) APPLICATION PAGE 2OF4 DESCRIPTION OF WORK (Check all appGcable boxes): A. STRUCTURAL DEVELOPMENT ACTIVITY STRUCTURE- TYPE O New Structure ❑ Residential (1-4 Family) ❑ Addition ❑ Residential (More than 4 Family) ''Alteration ❑ Non-residential (Floodproofmg? ❑ Yes) ❑ Relocation ❑ Combined Use (Residential & Commercial) O Demolition F ❑ Manufactured (Mobile) Home (In Manu- 0 Replacement factured Home Park? ❑ Yes) ESTIMATED COST OF PROJECT S B. OTHER DEVELOPMENT ACTIVI'T'IES: ❑ Fill ❑ Mining O Drilling ❑ Grading ❑ Excavation (Except for Structural Development Checked Above) O Watercourse Alteration (Including Dredging and Channel Modifications) O Drainage Improvements.(Including Culvert Work) ❑ Road, Street oANA1 gc Construction O Subdivision (New or Expansion) O Individual Water or Ser System O Other (Please Specify)` J" After completing SECTION 2, APPLICANT should submit form to Local Administrator for re-6cw. SECTION 3 FLOODPLAIN DETERMINATION (To be completed by LOCAL ADMINISTRATOR) The proposed development is located on FIRM Panel No. Dated The Proposed Development- 0 Is +NQJ located in a Special Flood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERMIT IS REQUIRED). 17 Is located in a Special Flood Hazard Area. FIRM zone designation is 100-Year flood elevation at the site is: Ft. NGVD (MSL) ❑ Unavailable O The proposed development is located in a floodway. FBFM Panel No. Dated O See Section 4 for additional instructions. SIGNED DATE • APPLICATION # PAGE 3OF4 SECTION a ADDITIONAL INFORMATION REQUIRED (To be completed by LOCAL ADMINISTRATOR) The applicant must submit the documents checked below before the application can be processed: ❑ A site plan showing the location of all existing structures, water bodies, adjacent roads, lot dimensions and proposed development. ❑ Development plans, drawn to scale, and specifications, including where applicable:details for anchoring structures, proposed elevation of lowest floor (including basement), types of water resistant materials used below the First floor, details of floodproofing of utilities located below the first floor and details of enclosures below the first floor. Also ❑Subdivision or other development plans (If the subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide 100-year flood elevations if they are not otherwise available). ❑ Plans showing the extent of watercourse relocation and/or landform alterations. ❑ Top of new fill elevation Ft. NGVD (MSL). ❑ Floodproofmg protection level (non-residential only) Pt.'NGVD (MSL). For flood4iroofcd structures, applicant must attach certification from registered engineer or architect. ❑ Certiftcatio from a registered engineer that the proposed activity in a regulatory floodway will not result in any increase in the height of the 100-year flood. A copy of all data and calculations supporting€.his Finding must also be submitted. ❑ Other: SECT—ION 5• PERMIT DETERMINATION (To be completed by LOCAL ADMINISTRATOR) I have determined that the proposed activity. A. ❑ Is B. ❑ Is not in conformance with provisions of Local Law # . 19 . The permit is issued subject to thr conditions attached to and made part of this permit. SIGNED , DATE If BOX A is checked, the Local Administrator may issue a Development Permit upon payment of designated fee. If BOX B is checked, the Local Administrator will provide a written summary of deficiencies. Applicant may revise and resubmit an application to the Local Administrator or may request a hearing from the Board of Appeals. APPLICATION PAGE a OF a APPEALS: Appealed to Board of Appeals? ❑ Yes ❑ No Hearing date: Appeals Board Decision --- Approved.) ❑ Yes ❑ No Conditions SECTION G AS BUILT ELEVATIONS (To be submitted by APPLICANT before Certificate of Compliance is issued The following information must be provided for project structures. This section must be completed by a registered professional engineer or a licensed land surveyor (or attach a certification to this application). Complete 1 or 2 below" 1. Actual (As-Built) Elevation of the top of the lowest floor, including basement (in Coastal High Hazard Areas, bottom of lowest structural member of the lowest floor, excluding piling and columns) is: FT. NGVD (MSL). 2. Actual (As-Built) Elevation of floodproofing protection is FT. NGVD (MSL). NOTE: Any work performed prior to submittal of the above information is at the risk of the Applicant. SECTION 7• COMPLIANCE ACTION (To be completed by LOCAL ADMINISTRATOR) The LOCAL ADMINISTRATOR will complete this section as applicable based on inspection of the project to ensure compliance with the community's local law for flood damage prevention. INSPECTIONS: DATE BY DEFICIENCIES? OYES ❑ NO DATE BY DEFICIENCIES? ❑ YES ❑ NO DATE BY DEFICIENCIES? OYES ONO SECTION 8 CERTIFICATE OF COMPLIANCE(To be completed by LOCAL ADMINISTRAT R Certificate of Compliance issued: DATE BY: Attachment B SAMPLE CERTIFICATE OF COMPLIANCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HAZARD AREA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OWNERS NAME AND ADDRESS: CHECK ONE: ❑ NEW BUILDING ❑ EXISTING BUILDING ❑ VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: A. COMPLIANCE IS HEREBY_ CERTIFIED WITH THE REQUIREMENTS OF - LOCAL LAW # , 19 SIGNED: DATED: B. COMPLIANCE IS HEREBY CERTIFIED WITH THE REQUIREMENTS OF LOCAL LAW # , 19_1 AS MODIFIED BY VARIANCE # , DATED SIGNED: DATED: C/C(93) 47- BUILDING DEPT. INSPECTION [ ] FOU DATION IST [ ] ROUGH PLBG. [ ] UNDATION 2ND [ ] INSULATION [ � FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY .4.r. REMARKS:��l.�-..- Xkle AA, DATE INSPECTO suIwiNa DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] 1 ULATION [ ] FRAMING FINAL [ ] FIREPLACE S CHIMNEY REMARKS: L01 APae,4, C.-L000l- P� 0 �iIL ,tom DATE 3 fflA7 INSPECT FIELD`'INSPECTION REPORT BATE _'. ;: COMMENTS ) II roro� FOUNDATION OST) IN ----�; �� FOUNDATION (2ND) -------------------------------------------- �%GCo I II ,� �i — G O its► o `� ROUGH FRAME & PLUMBING �I III I --- TI, --- INSULATION PER N. Y. t '• s. H STATE ENERGY CODE j N , 117 00, N 1 II !� H N I U FINAL ADDITIONAL COMMENTS: Ol.� - G H � H � H I v w iN yr 0vu i nvLL tWILDINU Yh1CM11 AYrLIC;A IUN C hECKL1S' 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: 765-1802 Survey PERMIT NO. _ " Check Septic Form N.Y.S.D.E.C. Trustees Examined ,20 Contact: Approved 3 7 ,20_!2!L f Mail to: � fh Disapproved a/c Phone: n3l- fo' — 7x Building In for APPLICATION FOR BUILDING PERMIT Date , 20 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 dreas, 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 a Certificate of Occupan is issued 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 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 name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect,engineer, general contractor, electrician, plumber or builder Name of owner of premises h"+Lt,4 (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: House Number Street Hamlet 50 9,(16R\,t C.�N �,�s7— fie drJ County Tax Map No. 1000 Section Block 1 Lot Subdivision Filed Map No. Lot (Name) -• �u�� 1--.lig uac auu ut:Qupaacy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy— hn e e, b. Intended use and occupancy S e e- i. Nature of work (check which applicable): New Building Addition Alteration Repair ✓ Removal i/ Demolition Other Work 1. Estimated Cost (Description) ----� Fee (to be paid on filing this application) If dwelling, number of dwelling units Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing structures, if any: Front_ (e( Rear I q De th �? Height Number of Stories_ p Dimensions of same structure with alterations or additions: Front 1 Rear Depth Height Number of Stories Dimensions of entire new construction: Front_ I Cl Rear I `� Depth Height Number of Stories Size of lot: Front_ oC6 Rear 7U Depth /art t 0. Date ofPurchase / O l Name of Former Owner /�yG�j i /-- 1. Zone or use district in which premises are situated 50(4-d1_1'1A 2. Does proposed construction violate any zoning law, ordinance or regulation: /V 1 3. Will lot be re-graded N ID Will excess fill be removed from premises: YES NO 4. Names of Owner of remises t��"N stN�" 1' 1`citeDi- Address 5o �Pa�,f 1,4Aw—Phone No. N f} Name of Architect lull¢ Address Phone No Name of Contractor�L✓ - Address Phone No. 5. Is this property within 100 feet of a tidal wetland? *YES NO • IF YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 6. Provide survey, to scale, with accurate foundation plan and distances to property lines. 7. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. TATE OF NEW YORK). SS: 'OUNTY OF ) Ah1'C" o Y _being duly sworn, deposes and says that(s)he is the applicant (Name of tndrnd 1 signing contract)above named, i)He is the (� (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 this application; iat all statements contained in this application are true to the best of his knowledge and belief; and that the work will be trformed in the manner set forth in the application filed therewith. worn�to before me this _1.�day of �/,• 20�_ Notary ublic Signa a of Appl' n LINDA J.COOPER Notary Public,State of New Yort: No.4e22563,Suffolk County Term Eslres Decerywer Si, �W_e?=��--� i \ 4 IL .... . .:............ � \ �/'/��/_= S>2LC11/'� /"1C7=/f /1 GL �/�'✓�i?�rf�.r,•'r 1x6 IYAX 4 Ode I PROVED AS NOTED DATE:..,, G.P. # 7 D FEE: I BY: ' NOTIFY BUILDING DE AR�TAT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING INSPECTIONS- 1. NSPECTIONS-1. FOUNDATION - TWO REOUIREO FOR POURED CONCRETE 4 � n g s 2. ROUGH - FRAMING & PLUMBIJ ' :' t ; 3, INSULATION I 4. FINAL - COQ' Y it OaJ x v CENe a u BE COMPLETE F;? C.l?- ALL CONSTRUCTION 53I�ALL MW THE REQUIREMENTS O4 THE kY. n A ; STATE CONSTRUCTION f ' CODE'S. NOT I DESIGN OR CONS r i l et 3 t v� f2 c } i I ' 57.E V.00 Z�e y4.;,Oc, 1'74X. fve� V�yv)'L x �: � 1. is - � t._...._`_ s a-___• F n !n Ile t. t' •