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HomeMy WebLinkAbout25622-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28572 Date: 07/08/02 THIS c~KTIFIES that the building ALTERATION Location of Property: 9625 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 31 Subdivision Filed Map No. __ EAST MARION (STREET) (HAMLET) Block 3 Lot 21 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated FEBRUARY 19, 1999 pua~suant to which Building Perm/t No. 25622-Z dated MARCH 18, 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 REMOVE 2ND FLOOR KITCHEN, ALTERATIONS & WOOD STOVE ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATRICIA GAPJtBRANT (OWNER) of the aforesaid building. SI/FFOLK CO~ DEPART~ENT OF ~RALTH APPROVAL N/A ELECTRICAL c~KTIFICATE NO. 1058136 06/14/02 PLUMBERS CERTIFICATION D~i'~ Rev. 1/81 06/02/02 MARK BAXTER '~' Authorize~ Signature~ 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. 25622 Z Date MARCH 18~ 1999 Permission is hereby granted to: PATRICIA GARABRANT 10 ALDIN LANE LEVITTOWN~NY 11756 for : REMOVE A SECOND KITCHEN AND MINOR ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 9625 County Tax Map No. 473889 Section 031 pursuant to application dated FEBRUARY Building Inspector. MAIN RD EAST MARION Block 0003 Lot No. 021 19 99 and approved by the Fee $ 75.00 - Authorize~ Sign~ure Rev. 2/19/98 COPY 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 buildin inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property linea 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. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings a '!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 applican 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-existinR Buildinz - $100.00 3. Copy of Certificate of Occupancy - 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . --~?F~-.. J.7.J. ??Q~ ............. New Construction ........ ~.. Old Or Pre-existing Building ................. Location of Property... ~. ~.~.~7 ............. Z~49~...~. ..... ~,.--~. ~/~.~, ~... House No. Street Hamlet Onwer or Ow-mers of Property .~/-~/~.~. .~.~.~,~ff~ County Tax Map No 1000, Section...~.J ......... Block..3 ............ Lot...~.~ ............ Subdivision .................................... Filed Map ............ Lot .................. Permit No ................ Date Of Permit ................ Applicant ......................... Health Dept. Approval .......................... Underwriters Approval ..................... Planning Board Approval ........................ Request for: Fee Submitted: 72 Temporary Certificate ........... Final Certicate...w~. ...... Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: ~ ~ ~._~ 2 2 6 0-2_ Building Permit No. Owner: ~o,-]cvlcl~. Cca. v~va~x Jf (please print) Plumber: tt~ot v ¢ ~2)c4 ~Jfq?~ (please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. Sworn to before me this day of Notary eublic,,~~x__ County (Plumb ers Signature) LYNDA M. BOHN NOTARY PUBLIC, State of New York No. 01 BO6020932 Qualified in Suffolk Count~ .., Term Expires March 8, 20 ~ BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS! BUREAU OF ELECTRICITY 40 FULTON STREET- NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by = GARABRANT PATRICIA PATRICIA GARABRANT ' 9625 MAIN RD 9625 MAIN ROAD E. MARION NY 11939 EAST MARION, NY 11939 Located at 9625 MAIN ROAD EAST MARION, NY 11939 Application Number: 1058136 Certificate Number: 1058136 Section: Block: Lot: Building Permit: BDC: NS11 ' Described as a Residential occupancy, wherein the premises electrical system consisting Of electrical devices and wiring, described below, located in/on the premises at: ' Basement, First Floor, Second Floor, Detached Garage, Outside, 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 ]4th Day of Ju~e, 2002. Name QTY Rate Rating Circuit Type Additional Charges ' detached garage is storage building No vismtI defects: an elctrical survey has been made of the exposed electrical equpment in the premises indicated. No obvious unsatisfactory condition was found. seal i . 1 of 1 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. OWNER TOWN OF SOUTHOLD PROPERTY RECORD CARD VI LLAGE W FORMER OWNER LAND . i0~o '/660 AGE NEW' FARM Tillable 1 Tillable 2 Tillable 3 Woodland Swampland 3rushland -louse Plot SEAS. ~oo NORMAL Acre FARM TOTAL DATE BUILDING CONDITION IST. / SUB. ^CR. '~F TYPE OF BUILDING LOT DEPTH BULKHEAD DOCK rotal' BELOW ABOVE Value Per Value Acre FRONTAGE ON ROAD FRONTAGE ON WATER COMM. CB. MISC. Mk(. Value REMARKS '// '~ ;4¢/",.~00 '~' ' 0" COLOR ,Idg. ~sion ~sion I ~k f~ 30: ~sion ~zeway '~ I~j J I ~ ;ement Bath )ors Place Roof :reation Room )rmer riveway Interior Finish Heat Rooms ]st Floor 2nd Floor ~ge o 3. al Robert Bohn Con tractin91nc $outhold, .7bS-1119 LICENSE # 7541-HI 2/19/99 TO: SOUTHOLD TOWN BUILDING DEPT 53095 MAIN ROAD SOUTHOLD, NY 11971 ATTN: MR JOHN M. BOUFIS RE: PAT GARABRANTS 9625 MAIN ROAD EAST MARION, NY PLEASE SEE ATTACHED DRAWINGS. UPSTAIRS: 1. REMOVED UPSTAIRS KITCHEN 2. REMOVED DOOR BETWEEN BEDROOM & KITCHEN. 3. REMOVED DOOR AT TOP OF STAIRS. DOWNSTAIRS: 1. STI~IPPED PLASTER OFF OF EXISTING CEILINGS & REPLACED WITH SHEETROCK. 2. REMOVED WALLS (NON- LOAD BARRING.) 3. CONSTRUCTED CLOSET IN EXISTING HALLWAY. 4. PUT DOWN NEW OAK FLOORING THRU-OUT HALLWAY. 5. PATCHED SHEETROCK WHERE NECESSARY. PLEASE CALL IF YOU NEED ANY FURTHER INFORMATioN. TI-IANKYOU, SHELLEY FINNE-KEI-IL ROBERT BOHN CONTRACTING INC. 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] ~AMING [ ] FINAL [ ~/]/FIREPLACE & CHIMNEY ~ REMARKS..~~~.~.~'~ ~,,'~ 765-1~02 BUILDING DEPT. INSPECTION [ ] FOUNDATION l ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ].~JLATION []FRAMING [ t.,~ FI NAL ~./~'/~"'-'/~--'~. ) []FIREPLACE&CHIMNEY ~ ~' 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS~..ATION [ ] FRAMING [~-~'J~ FINAL [ ] FIREPLACE & CHIMNEY R EMAR K S: ~--/~'-/,~*~-=_ ~//~ /~~--~--~ DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUG~.~G~ [ ] FOUNDATION 2ND [ ! ~ATION [ ]FRAMING [,~"FINAL []FIREPLACE&CHIMNEY INSPECTION REPORT · DAT[~ )UNDATION (IST) # II # II Il II II II II I! II II II II II II It II II ~I$III~TION P~R N. Y. STAT~ ENERGY CODE II II II [ . # II I! II II # Il-- ......................... __==__ ~j~plT!Olta. L, C~S: ..................... / /- × . -1 .~ FORH NO. I  .... ~ ,~ -- TOI~i OF SOu'r~OLD Jki~ rED ~ ~"c~'J !~,] TEL: 765-1802 Disapproved a/c .................................. INSTRUCTIONS SURVEY ............ SEPTIC FORH ................... NOTIFY: .~.~..~..~...<~;~: ..... a. ~his application ,~mt be cu~letely filled in by typewriter or in ink and sul~itted to the Building Ins~ctor 3 sets of pl~, ~e~wate plot plan to _~_~!e. Fee __aeeo__rding to · b. Plot plm sho, d~ locatim of lot and of buildings m praises, relatio~hip to adjoining praises or public streets or are-s, un8 givir~ a detailed ~escripCion o[ layeut of property ~mt be dra~n on the diagrm ~hi~h is part of 'this application. c. The wrk co~ered by this applicatio~ my not be c~,.,..-m:ed before iasum~ce of Building Pemit. d. Upon ~o~al of this application, the lhilding Inspector vi11 isaue a lh/lding Pemit to the ~licant. Such pemit shall be kept m the p~e~l=- available ~or inspection throngbeuC the ~o~k. e. lto building mSmll be oco .ruled or used in ~hole or in ~nurt for any purpose dnatever tmtil a Certificate of Occt.-~ey shall have ~ ~ted by the ~,ilding ~nspector. APPLICATI(I/ IS I~tr ~ to the Building ~epa~.,.-nt for the issumme of a l~uilding Permit pursuant to the Building ~-<~ Ordlnsnce of the To~ of Southold, Suffolk County, ~ York, and other ~e,21icuhle L~s, Ordirumces' or Regularly, for the _c~mtruction of buildings, ,~8itions or alteratiotts, or for L~..,~al or demolition, as herein described. ~be applicant _~ees to ~t?ly vith all applicable laas, ordi,umces, building code, housing code, and regulatiet,% and to ua~it mthorized inspectors tm premises and in building for neceeat~ry inspections. .......... (Signature of ~yplic~mt, or ~lf a~cor~o~ rati.~) . ..... ~[~OlR£O o~aili~g -~ess of applic~t) ~~~..~~.... ......... ,. .......................................................... o, --, o, ........................................................ (as on the ~ax ~oll or late_~t / If applic~ i~'a eorporati~, sisaalj~re o[ d~l~ ON LEAD CONTENT BEFORE '~t CERTIFICATE OF OCCUPANCY ~,~, Li~_~ ~ '7,5 z./ /_ /4_/_/_/_/_/_/_/_/_/_~- SOLDER USED IN WArER .......................... SUPPLY SYSTEM CANNOT P~=, u~- ~o ......... . ................ EXCEED 2/10 of I% LEAD. Eleccrici~ Li~ No ...................... Other Tr~'s License Itu ..................... I. location of l~a on ~hich ~oposed vofl~ vi11 be d~e .............................................................. ..... ..... ..... ................................... Bouse l~r~er Street l~let Co~ty Tax llap ltD. 10O0 Section ................ Brock ................ Lot ................ Subdivision ...................................... Filed Hap 1~ ................ Lot ............... $ existin~ use ~na oeo of Pr~'ses and mt'~t~,use ~ .,~' .-~tlon' 2. tare __ ~ ,. ~,,,~ ~ -~ ~.-~ ...... ~-- 7j.,..~:..~.../~...'..~.~. ~T ~~;,- ~ ............. b. Ilat~~! Lt~ m~4 __~:o~_ ~ancy ...... ~ o ;.-' ....... ~ ............................................... PLOT DIAGRAH Locate clearly and distinctly all buildings, ~heth~r existing or proposed, ~d indicate all set-back di~msions p~,~erty lines. Gi~e street ~d block ~m~ber or d~scription __~cco~ding to ~c5, ~ ~ street n~es ~nd indicate ~l~ether interior or corner lot. o[ ~id mr m mrs, ~ is ~ly ~ri~ to ~rbm or ~ ~rb~ tim ~id ~ ~ to m~ ~ [ile this *~lieatim; ~t all star--ts =tai~ in ~iu *",Ii=tim m t~ to ~ ~st o[ his ~1~ ~ ~lieli ~ flint ~ wA viii ~ ~rb~ in tl~ ,,~,.~r ~t Mth N ~ ~llmtim [il~ ~t. ~m to ~[om m ~is ................. ~ ~e~ ..... ~7..,,...:$~. ~ ~ ~ , ~T~ PU~C, S~of ~y~ ,. ~ OlST~I~.~~ T~Ju~.~' ~ ) .) I~tFPA Minimum Clearances P'or Safe Installation slove pipe non.combusQb!e %v:]j stove pipe:, crimped c::d d.av.,n non'combus:ib!e floor prolection ........ . Corn bu.stibles A. [.isled 'Wood Heater Side, [ack 36" Top 36" t~. Single W.-:II Cannectr; Pipe 18" (24 gau;~c or lm~v~cr) C. Chimne~ llcJ~hI 3 ~eel hi~hcr Ihan tool; 2 loci higher lhan any ~arl of roo[ wilhin 10 fctt (mca:uteri horizontally}. ~,Vith 3~.~' masom9, wall or 2.1 gauge sbt rectal with l"airspace 12" 12" CHECKLIST FOR YOUR CHIMNEY PROJECT LXI~L'LATED CHI.~L"I Eli' PIPE 3' LE.\'GTH 6' L~X'GTH ITl)) __.. 5C° INSULATED ELBO~,S IT-EL3~ __ . _ WALL SUPPOIJV KIT LT-WSK) . __ FIKISH SL"PPOgT IT-PSP) __ FL'~I.SH SUPPOBT (T-~m: __ __ ROC~,'~ TOl' (T-C~.. __ _ ANCltCR PLATE ~T - _.M~, __ . _ 2."t 2 TO 6:t~ .... AI~L~I'ABI.£ FLASI'ING (T-.AF ;2: sro~.~ COOl. AR (T-SC) .... ~ ~'Igl';'l'~L~t COLt,AR [T-TCS) ..... RI~ ~3P;XVALL SlT~CER (T-W$.~ ..... TOTAL .... II SELKIRK ~,METALBESTOS AN r. I~ P. O. ~ 372, ~ampa, ID 83653-0372 AOfOIb ~;I 5;90 c 19~O SELKIIIK ME T.,M ,B,~Sll)S.! SELECTING THE RIGHT CHIMNEY SYSTEM Masonry Fireplace using a Chimney. The chiraney for >'our fireplace or stm.~ will ptubably take one of the following configurations. Each of these chimney s3,~ems requires a different com~inafion of parts to complete a satisfactoD' chimney assembl): These fittin~ are illust[ated and lal~ed for your convenience. It is important Sat )~u have the correct combination of parts and sul~ient chimney pipe before you start in..~al~ion. Be sm'e to lead and follc~' the inatruc- tions afilfi ~x~ur fireplace or stm, e for any spedal chimney needs and other installation requirements. ~ ON ell~l~l£V/s~Ol~ ri',- ~ONNIK'nON$ ~ tl~ shaw Model ~ Chimney system5 ~onnecled to ~ double waJI smoke ~pe using the .~&Mel I~ Chinmey HOg Adapter pa~t. Model S$]] Chin~e~ m~: bc connected to singte ~all stove pipe using the IMples$ Smoke Pipe Adapters. W..00~ ~ with chimney offset to avoid Basement Heater with Tee-suppo Fr~er,,.. ~ .k~/(r'AF'lO'tr'/~r'~'~ Chmsp~/ '~ l '-- '*"'-""-"-"" ,,. *'""' ":"X Iq ' .... 'V-I!; SELECTING THE RIGHT CHIMNEY SYSTEM ~ chimney for)mr fireplace or sto~e will ~ly ~ one ~e foll~ wnfi~mtio~, ~ ff~e~ c~mney ~e~ r~s a ~nt combinafi~ ~ ~ complete a sat~fac~ ~ ~emblg ~ finin$ ~ i~ustr~ ~d a~ mr~ur minuend. It ~ impo~nt ~ ~ve ~ co~a co~i~ ~s and ~t cn~ney ~ ~fom ~ ~ ~fim. ~ ~ m ~d and gl~ &e imtmc- t~m s~vur ~a~ om~e for any ~c~ c~y ~s ~do&~i~m~ requ~. NOTE ON CHII~I~V/SMOI~ lq~E CONNECTIONS Most diagrams show Model ~ Clinmey ~tem.s c~ ,~n~e wmi st~ve pipe ~n~ fl~e l~ipleu Smoke Pi~ Masonry Fireplace using a Model SSI! Chimney. Solid FuelA a short vertt ppllance with :al ddmuey. Wood He~e£, with its chimney fluough an upstairs enclosure, Wood StOVe with chimney oflE~e~ ~o avoid rid~. :'-"~." ,, i~q Basement Heate~ with Tee-supported outside chitonS. ~acaflon A-Fra~ne with its cbt m~ on a.q~ep pitch roof. FMm~q Combfna~ou of Purnace and WaW He~r on onethlnmey.