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Home My WebLink About26692-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28363 Date: 04/24/02 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 8985 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 3 Lot 17 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 8, 2000 pursuant to which Building Permit No. 26692-Z dated AUGUST 2, 2000 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 BATHROOM ADDITION & SUNROOM ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to SYLVIA M DALEY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. PENDING 04/04/02 PLUMBERS CERTIFICATION DATED 03/20/02 WALTER H. BERRY 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. 26692 Z Date AUGUST 2, 2000 Permission is hereby granted to: SYLVIA M DALEY 175 EASTERN PARKWAY BROOKLYN,NY 11238 for NEW CONSTRUCTION ADDITION OF A BATHROOM AND SUNROOM TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. at premises located at 8985 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0003 Lot No. 017 pursuant to application dated MAY 8, 2000 and approved by the Building Inspector. Fee $ 75. 00 Authoriisej Signature COPY Rev. 2/19/98 Form No.6 TOWN OF SOUTHOLD .(1 (1_ BUILDING DEPARTMENT TOWN HALL E 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPAN This application must be filled in by typewriter or ink and submitted to the Building D partlent with Ufa*i ,• A. For new building or new use: Tom r 1. Final survey of property with accurate location of all buildings, property lines, streets, and un i biral o 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 I% 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 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. New Construction: Q Old or Pre-existing Building: (check one) Location of Property: 8,S l &AI 9-Oq 12 �T� 12 I 0 of House No. Street Hamlet Owner or Owners of Property: L VtA Suffolk County Tax Map No 1000, Section Block 03 Lot 7 Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ 7 Applicant Si ature �� 03 c 3G 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 S 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 5 5 CERTIFIES THAT 5 5 S 5 Upon the application of upon premises owned by 5 5 55 5 SOUTH SHORE ELECTRIC SYLVIA DALEY4020 5 5 8985 MAIN RD SEAFORDR NY ROAD EAST MARION, NY 11939 5 5 5 5 5 MARION, NY 11939 Located at 8985 MAIN RD EAST O , 5 Application Number: 1046296 Certificate Number: 1046296 5 5 5 5 Section: Block: Lot: Building Permit: BDC: NS11 5 5 5 SDescribed 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 First Floor, 5 S 5 5 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was found to be in compliance therewith on the 17th Day of April,2002. 5 5 5 Name OTY Rate Ratine Circuit Type Appliances and Accessories 5 Exhaust Fan 1 5 5 Exhaust Fan 1 S 5 Wiring and Devices 5 rj Outlet 5 Fixture 5 LSA Receptacle 8 General Purpose 5 Switch 2 General Purpose 5 5 Fixture 5 Incandescent 5 Receptacle 1 GFCI 5 Dimmers 1 600 5 5 5 5 5 5 5 5 seal 5 5 5 5 5 1 of 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. =j5 Town Hall;53095 Main Road 0 • Fax(631)765-1823 P.O.Box 1179 �i O� Telephone(631)765-1802 Southold,New York 11971-0959 ��l BUILDING DEPARTMENT TOWN OF SOUTHOLD 1 2002 �..��......�...._.. ` kms..., , CPT. J`y 1 '\, OF '„ :UTHOLD CERTIFICATION Date: ,3 o Building Permit No. 2 60 L, Owner: S 0 YL V L (please print Plumber: j) (R�—, (� (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. (Plumbers 1 ture) Sworn to before me this day of 20 J Z A G ' Notary Public,State of New No.OIST4844152 Notary Public, �Ij Count Qualified in Suffolk County County Nmrnisaion Expires Sept 30,�ZW 5 BUILDING PERMIT REVIEW CHECK LIS~fir Applicant/ S� Iv t Date Owners Name: 47 Reviewed: r~ Oce Architect/ Date Engineer: —�� Submitted: S SCTM #: z ' District: 1.000 Section: Block: _ _ Lot: Project Subdivision Location: ?q55 ax--,A5 E—� 7 Name: Single& separate Required v certification: Yes/No) __ 3-2 S i.S Rcq. Rcq. •f° $('�/ /.oning District (Lot size Actual i 79MAe I (Lot coverage ��Proposed /4— Req. ) Req. � V[Rear Req. ` �i1i�r+►i� GwsT(prom Yard �L Proposed: ] [Side Yard /� Proposed: Yard Proposed /�F J nn Project Description: rO — �"' ��/ aoy iso AGENCY PERMITS Permit REQUIRED FOR REVIEW N.A. NO YES Number Suffolk County Health Dept. New York State D. E. C. V/ Town Trustees t/ Town Zoning Board approval: V0- Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: ,.,r Notes.: 6� /2 !/" � %fano.+ �Co.1 /" a�•s 1 \ M-1802 BUILDING DEPT. INSPECTION DATION 1 ST [ ] ROUGH PLBG. ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMAR f ,DATE INSPECTO i M_1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ROUGH PLBG. [ ] F DATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE R MNEY REMARKS: �IIZ DATE l 0� INSPECTO o2 BUILDING DEPT. INSPECTION [ I FOUNDATION IST [ ] ROU PLBG. [ ] FOUNDATION 2ND NSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: 40 ,DATE �� d� IN8PECTOR BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLB6. [ ] FOUNDATION 2ND [ 4,IN�"TION FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: pl/O A�r /dy� i2F�i�✓y� DATE /ltivI� IN8PE BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ j ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING �1 v [ ] FIREPLACE 8 HIMN REMARKS: DATE //0/0 v INSPECTO '1ELD INSPECTION REPORT DATE COMMENTS II � d�(l: � P� 40--- 'OUYtATION ( is it it — --- -- —_ II II e ON _ ------ OUNDATI (2ND)====__ ___________________________________ it LOUGH FRAME & c� PLUMBING CNSULATION PER N- Y. STATE ENERGY CODE II It _II a It (f4ele0ol —/ } J FINAL J' _------------------------ll=------- _---- ------ ------------------------------------ ADDITIONAL COMMENTS: C z J r b H u L5 I! J 1S i (� ' BOARD Op 11E111.111 ... .. MAY q 9000 •PORN NO. ! 3 SETS OP. PLANS...... ... . .....:.' OWN OF SOUTUOLD SURVLrY ....... ... . .;...,.x:•. . .... . . ""T MUCK .. . ..'.. . . . . . ... . . MUILUI G DUARi'ML�NT 'TOWN IIALL SLPTYC Tom .•• ••.. . . . . .. . . . SOliT.1101.n, N.Y. 11971 NOTIFY: TL1.s 765-1802 CALL •.... . . .. . . . . . . . . Eawniroed.....al' �e-2 ........woo reriait N4 ..•••••....•..,. nl-4>rcwc(l.....7/- ......., �• .................. i)isapproved a/c ... ..................I............. ...... • . c o...•�- Qk,ildi„g In tor) , APPLICATION FOR UUILDTHG PrauiIT INS'T'RUCTIONS a. ,,,is application oust be completely filled in by typew riter or in ink aril sul=ltted to the Auilding Inspector wi s sets of plans,,accurate plot plan to scale. Fee according to sd,edule. oaglip to oin remises Or public b. Plot plan, slxx�ing location of lot tio+ oEdla ,bw t�of opertY uuatrelatibe drawn on tltis d siprea%llid, is part of ;treets or areas, and aivi,�, a detailed description this appllcatioc,. Permit. c. '11,e work covered by this application rosy not b e ccrnmencecl bel=orP isa,nc,ee of ng Peing Sud, (l. upon approval of this application, the IWIding Inspector wilt issue a Iluilding 1�enait to q,e apPlicaut• perm'.t s1u311 be,kept on CTw premises ied orlable for used in vjl ole Cor in part for purpose -A-mtever until a Certificate of e. No building shall be occup occupancy ehall &,ave been granted by titre 1h,ilding Inspector. t to the /�I'Pi,IC1Ci'LOy IS tLRZ�f >•SN'�L to theik,ildira 1�epartmenC for tl,e issuar,cs of a Building P+at,ait pursumc, ty, New York, ac,d other applicable 1.�►s. Ordinances ar liuildi�ng Zone Ordinance of the 'ibwn of Southold, Suffolk Coun63 herein Regulations, for the construction of buildings, additions or alterations, or for removal or deunl� code, In described. *nw applicant agrees to coTply with all applicable Taus, ordinances, building pections. regulations,raild to admit authorized inspectors at premises and in building for necessazy InSc— (gignatur�t of applicant, or mama, if a cornoratia,) r .... .. ......•••••••. .4,, .. •. ... (Mailic,g address of applicant) State wl,etl,er applicant is owi,er, lessee, agent, architect, engineer, ge neral contractor, electrician, plucrher or lwil,lc ........,.... ... .............................................,......................... .. q11i- O �-- / .............. &lame of owner of premises ..... LA- C-...0..0...I........... (as on the tax roll or latest dead) Ifs cant is . a ration, tune of duly ,o zacl officer, ...... ..... . ... .... aril title of Co ate officer) Ihrilders License No• 5 ... PlurWrs License No. ......................... �. electricians License No. Other Trade's License No. .................... I. &vcation of I" on dtiici, proposed work will Le 4000...............••,..•.e•,••,,/••••••,•••••,•. �/ !•�/V .. 2L7�' �/J'ycv�)� louse cher Street _{.►rP�f•.._,�-C .....d. ,•,•..•• • ....... Ivt 1:7. •...•.•.. County Tax tiap No. 1000 Section Mock ,••••• 1 Filed Hap t10 YAt *too*.... Subdivision •' ••,••.•,.�•••.• (Name) tractions 2. State existing use and occupancy of premises and intended use aril oCY of PrnPo • a. Exi.s t ins•use and occupancy 5 .b. Intended use aril occupancy .. .::L�............. ....... .....................'...:................ ... Matura of work (dneckWids aMlieable)t Clew building .......... Atktition ...v..., Alteration ....�, Repo Ir ............ par mal ............. tkmol{tion ........... Other Mork (Nacription) Est itmted Cost ..�../••.� :............ fee. ....•......................................... (to be paid•on filing tilts application) 1f 64ellIng, txrti9er of d 111na finite ............ U111mr of Am'lIna ttnita of each floor .......... ...... if garage, txnber of can .....................••............... If lxtaineas, can. reial or mixett ocettpency, specsfy nature and- extent of each type of use...................... Omenslone of existing atrttcturea, If anyt irront•................ hear ............... [kptlt ................. Wight .4.4..................... Wilber of Stories ... ......•.4......... Din"atons of amn structure with alterations or'nxklitlontit Front ............... Rear ............... Depth ........... lialdit ......... ......... ..... .............. Nimtner o1< Stories ... .. nitr+enslons of entire neer construction:, Pront ....4..... .... Rear ............... Depth .............. Ilei tt ......................... hnhar of Stories ..................... Size of 'Iott tttratt .................... Rear ..........•....••... %pttt ...6................ O. Il,tt'e of Pardtasa ......•.......•.•••.. Nam of rronner 0-mer ......•..•..•.•••.................... .. . I. tate or use district in which premises are situated .........................:................................. ... 2. lkxa proposed construction violate any sating !tar, ordinance or regulationt ........................ 3. 14111 lot be regraded. l................... Hill exceed fill be remaved from premiseat YES NO p L tLA 14. titsttea of Ot+rter of tees ..�?:....... ..�yY...... Address .........:......:.............. 1'Ita>e No. Nam of Ardtitect ......................r............. Adklress .............................. Phone No. ............ N(tne of Contractor •.............:.r................•. Address ••..•..••..•.•.•......••..••••..Phone No. ............ IS. is (lila property within 300 feet,of a tidal wetland!.? * YM .........• No ,.••...., *1F YM, SQJi M'Inl,3•i 7MSTM rL1triMIT MAY d3t>i 1.iD( dram• PLOT Di'AGRAM Tecate clearly and distinctly all buildings, %Axther existing or proposed, and indicate all set—back dimensions Prem property lines. Diva street and block molmr er description according to diced, and shat street 'nams aril indicate tatetber Interior or coater lot. S M111 (At Nil! YWK, WIN11 (Jit ....................... ..........4::�•.`':::6....................Ixa nl; duly swum, dlelx)»es atxl says that be Is the appl.i dlte,t. (Min•of.inxlividual signing contract) above tinned, Ile in the c ............................................ ............................ . .................. (Contractor, gent;corpornte officer, etc.) of said (mier or owrA-rR, nail in duly autitorized to perforin or ltttve performed Lite said work mil to moke and file LWA ttlgnl icmtion; tint fill statemnts contained in this nlnnlicatl n are true to the best of lite ktxraledAe atxl lx;llef; tiM that the work will be performed in Lite mnntter Ret forth in Lite nppltcatidm filed therewith. )rn to 1>efyre tre Utts '? y Q CO .. ..dn of •.i. •.• ..• •..••• Notary it►tblic f•.... ...... ..... ........ �. HELENE D.HORNE Sitttutt:ure of Apl) tit Nolarj Public,State of New York No.4951364 Qualified in Suffolk Coe Commission Expires May 22.aQZ7•� J l �Q�J i r.J�fJ,ftr 4.:�. I N, 7 9 `, 'Q. - /ptS.Z z 7 _ J \l cif, 'r.d�ca;,o..:yen, 19 run 7 Of""!c.. :.i Id wnc. awvn 6 = �..,�..:.r.•, a tnr tion c: Ler �w:.0 m and 7c uw •,uDu vwrw f C' v Mu LS 22j', } MAP OF PQOPE)2 'Y - N SURVEYED Foe J 41 Ar BAST MAP,/(:)N, N.14 � b 60 Arecy-0,76f9 4c. r Mow$ c1+ T V ria q�, „ O cb v 5L)6o!k c_..o.7bx hIV C)c=ij"lTh0" k�l�T' ! d r�tea. ` i Gtr f.�ti�X7,.5�'C rt.G 1 r !Sf/t PG l i' IS- t UNDERWRITERS CERTIFICATE REQUIRED - A�NEO P NOT PR010EED V11TH FIjNTIL SURVEY OF FOUNDATION LOCATION HAS IIdIN� M1A,pNr>4 AT HAS BEEN APPROVED. PROVIDE OPENINGS FOR ��»� NO�t THE EMERGENCY ESCAPE AS 1. POIMIIswIOI1MYi0 RE�UIREo REQUIRED BY PART. 714 OF O1 �OI�<wOtlNlNODON�E� _� N.Y. STATE BUILDING CODE. L NOU 0 • lRAMM • PLUMBING 4. i N USE IS UNLAWFUL 4. FINAL • CONSTRUCTION MUST BE COMPLETE FOR C.O.ALL STCTION SHALL MEET THE OUI EMEWM OF THE N.Y. NITHOU C COE"IFICE STATE CONSTRUCTION & ENERGY OF OCCUPANC."I CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS PROVIDE ANTI-SCALD AND/OR ,"NaJ tfIi .. 1.) �J THERMAL SHOCK PREVE C,1-i A f e.A S N� rJC �"T DEVICES AS TO PART. 9 2. K ��L,A`�S t3 f'`` �'HE�T �-^"' N.Y. STA G �� Ly off C �rl J4. OLA" I j�,'C°'` x 003 �-- ' . Ex�L LEWTD TO rffffr• �,.y J lf/JH LL C,J t0 ox . 1 16 4 ot, WALLS PROVIDE '/, 141R. FIRE FATED SFPARATION TO MIrT�_1q PART. 717 " (F', (1) OF NG, C 0 P 4 r—to r"## soiso- S Air- THERMAL SHOCK P ��-�C� G�'�Ovn�D r1��1 i-1 ENTING �e�.J10+ 1 DEVICES AS TO PARTS 01.0) f - N.Y. STATE BUILDIIY>i C�DE. 12I _ d ii PLU 13ER CERT F1CAT1()N If copper tubing is used ON LEAD CONTENT�3EF®sqE for water distributing CERTIRCATE OF OCCUPANCY system;piping shall be PLUMBING of types K or L on ALL PLUMBING WASTE SOLDER USED /N WATER --� &WATER LINES NEED SUPPLY SYSTEM CAI�I/I/ UNDERWRITERS CERTIFICATE TESTING BEFORE COVERING E�'CE-ED 2��C o f�/ LEA T REQUIRED D. G FocT"��J� nj T �t C olyy ,-7W �YSf3C 70 i E x�sTi�1 F� a•�T+o,i .._ DA" Qt St o+iojc.tz' golf?S PST . pas EXE r�� I F c e i� / /` EX 15?IAj Li `' P.C_ Fz>av ir4e. K Ito All-