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Home My WebLink About27950-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28560 Date: 07/01/02 '£~iS C~KTIFIES that the building SUNROOM A/~DITION Location of Property: 10939 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 31 EAST M3LRION (STREET) (HAMLET) Block 4 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 13, 2001 pursuant to which Building Permit No. 27950-Z dated DECEMBER 7, 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 SUNROOM ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to CRYSTAL L ROCK of the aforesaid building. (OWNER) SUFFOLK COUI~TYDEPARTMENTOF~RALTHAPPROVAL N/A ELEC~TRICAL C~TIFICA~ NO. 1045692 04/26/02 PLUMBERS c~TIFICATION DA'r~ N/A Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUITDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 27950 Z Date DECEMBER 7, 2001 Permission is hereby granted to: CRYSTAL L ROCK PO BOX 572 EAST MARION,NY 11939 for : CONSTRUCTION OF A SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR premises located at 10939 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0004 Lot No. 028 pursuant to application dated SEPTEMBER 13, 2001 and approved by the Building Inspector. Fee $ 150.00 COPY Rev. 2/19/98 Form No. 6 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 Building Department with the following: Ao Bo Co For new building or new use: I. 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). 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 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. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: I. 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. Ifa Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. Date. New Construction: Old or Pre-existing Building:__ Location of Property: t C) q t Ho~se No. __ ' ' -' 'Street ' O orOwn o Pr. y: Suffolk County Tax Map No 1000, Section ~)~ ] Block Subdivision Filed Map. PermitNo.~,~.~ ~Q~.~{)~_DateofPermi,.' ~.[~lO/~Applicant: 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 - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 - z/'OZ_ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~q Underwriters Approval: Final Certificate: IJ co (check one) Hamlet Lot Lot: (check one) (Applicant Signature 25, 2002 Sou~old To~ B~l~ng ~pt. Sou~old To~ ~1 ~in Roa~ Sou~old, N.Y. 11971 FAIRWEATHER-BROWN DESIGN ASSOCIATES, INC. P.O. Box 521 413 Main Street Greenport, N.Y. 11944 631-477-9752 (fax) 631-477-0973 Re: Rock SCTax Map # 1000-31-4-28 Amendments to peimit # Z27950 Attached please find: Revised plans including as builts & proposed changes to meet building code requirements as requested. Thank you, Respectfully Submitted, BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRI'TERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by ARTHUR A. RUROEDE 23865 MAIN ROAD ORIENT, NY 11957, * CHYSTAL ROCK 10935 RT.25 EAST MARION, NY 11939 Located at KETCHAM LANE RT.25 & ROCK EAST MARION, NY 11939 Application Number: 1045692 Certificate Number: 1045692 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: First Floor, 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 26th Day of April, 2002. Name QTY Rate Rating Circuit Type Wiring and Devices Receptacle 5 0 General Purpose Switch 1 0 General Purpose Receptacle 1 0 GFCI Paddle Fan 1 0 Residential seal 1 of This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ~ , : r~ ¢,. !.-~,, PROFESSIONAL ENGINEER . ~ 1725 HOBART ROAD / PO Box616, SOUTHOLD, NEWYORK 11971 ?EL 631-765-2954 · FAX631-614-3516 · e-mail: joseph@fischetti.com Date: Reference: February 6, 2002 Permit #27950Z Building Department Town of Southold Main Road Southold, NY 11971 Dear Sir, I have inspected the completed structure for the Rock residence noted by Building Permit #27950. The work has been completed per my drawings submitted for the original permit. Joseph Fischetti, PE BUILDING PERMIT EXAMINER CHECK LIST APPLICANT NAME: ~l~rOt. SCTM# DISTRICT: 1,000 SECTION: STREET: [C)q~q [Y~,a '~- PROJECT DESCRIPTION:~v~ e e~ ~,,,~ ARCHITECT / ENGINEEI~: L~-m~e-w t BLOCK: /'/ LOT: DATE REVIEWED: /~,/.~ /01 .DATE SUBMITTED:/:z/*- /01 SUBDIV. NAME: FAST TRACK? NOTES: _.-.- SINGLE & SEPARATE CERTIFICATION,REQUIRED? o o LOTS 40,000SF -100-24. Lot recognition.(CREATED before June 30, 1983), UNDERSIZED LOTS FROM JAN.1997 100-25. Merger.(A nonconforming at any time afar 7/1/8: ZONING DISTRICT: ff-¥o CONFORMING? ato REQ. LOT SIZE: Va, o o ~, ACT. LOT SIZE:'~e' g,~ ~EQ. LOT COV. o2%1' ACT. LOT COV. ~ REQ. FROm ~,-X~ PROP. ~Om~~q SIDE ~,F^CT. Sine ,,,, ~V."~"?e REQ. REAR ..~ -~ ~ PROP. REAR 2q'J/- ~--.-t ~ WATER FRONT? 8t~ DESCRIPTION: ~,aNEL #: a"/ FLOOD ZON~:~ AGENCY PERM1TS REQUIRED FOR REVIEW APP, ROYALS REQUIRED: SUFFOLK COUNTY HEALTH DEPT: YES No~ED #): DTE:__/__/__ PERMIT #:R10- NEW YORK STATE DEC: PRe-DECg/It~S YES o1~ x) SOUTHOLD TOWN TRUSTEES: YES o(r~ ~ TOWN ZONING BOARD APPROVAL: YES oO k' TOWN PLAN. BOARD APPROVAL: YES o~ ) - TOWNI-nSTORICAL PRE~ (SPLIA): YES ot~ ~ ' · . / ~.GR~SS (i8 H min.? 4 sq tom) -~W/i~rENT (SQ. FT. x 4%) W/a UGHT (SQ. Fr. x 8%) BUILDINGPE,,,,~.PEN/EXPIRED: BP q~' -Z/C/0Zf- -~'3~ , FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: D-b'~ SF SECOND FLR: SF INIT OTHER TOTAL: ~5~' SF FEE FEE TOTAL FEE 'OT( ~D- SF)-( ~-O SF)= o SFX$ -=$ -- +$ I~'o +$ =$ ,~'o '- .. "LOT 25 \ KET(~-IAM LOT 25 SCHRADER LOT 20 66.89' GHT OF WAY cq A~H~T ~RI~WAY ~ ~X J"""~XJ 89'31'30'W~o., ,.~,~o. LOT 19 BROPHY O [~, LOT 29 BEGO~A & KETCHAM IP OFF 0.; N 765-~.802 BUILDING DEPT. [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: DATE /~~ I NSPE~O~ 765-1802 BUILDING DEPT. INSPECTION ]~NDATION 1ST [ ] ROUGH PLBG. *[/'] F~II~DATION 2ND/ ~~ [ ] INSULATION /- FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY , ..?~1~9- /'?.' _.~ I ~.~ v' _/_._ .'.__~ : ' o~ DATE //~~ 2.~ INSPECT .REPORT - 2'.,c' Z.,¢ / ~OUGH FRAt~ & · PLYING ~wKOLAI~OI~ PER !~. Y.- - ~r.A't' E Eh~t~G'Y CODE TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: 765-1802 ~ Examined Approved Disapproved a/c //~/~ ,20 ~/ ,20 BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying ? Board of Health --~3 sets of Building Plans ~ Survey ~' Check Septic Form. N.Y.S.D.E.C. Trustees Contact: Mail to: Building Insl~r~tm'~--~ APPLICATION FOR BUILDING PERMIT Date ///3 ,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 o f buildi ngs on premises, relationship to adj oi n in g premises or public streets or areas, 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 ln.qpector 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 Occupancy is issued by the Building ln.qpector. 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 remoygl 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. t r (Signature ofapplicam or name, ifa corporation) /t (Mailing address of~ appli, can.,,O// State whether applicant is owner, lesse, e, agent, architect, engineer, generm contractor, electrician,~lum~)& or builder (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. Locatiqn of land on which propose4 ~vork will be done: House Number Street County Tax Map No. 1000 Section Subdivision . (Name) Filed Map No. Lot State existing use and occupancy of premi_s~es and in.tended use and occupancy of proposed construction: a. Existing use and occupancy ~-~/,,4-'/~. / b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair ~.emoval Demolition 4. Estimated Cost ,~d~, O(5>~P Fee 5. If dwelling, number of dwelling units If garage, number of cars /t o Addition Other Work Alteration (Description) (to be paid on filing this application) Number of dwelling units on each floor If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of existing slngr, mres, if any: Front Height /-.-,-~ t~'3''~ Number of Stodes Rear Depth o Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories Dimensions of entire new construction: Front Rear Height Number of Stories Size of lot: Front ~ / Rear / q ~ Depth / ~ / Date of Purchase Name of Former Owner Rear Depth 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation: //[//1~ 13. Will lot be re-graded A/~c? Will excess fill be removed from premises: YES NO 14. Names ofOwncr ofpremises ~)~. ~Address /O~8/,,~,~/~;Jt/~Phone No. Name of Architect ,, / .~ ~- Address Name ofCont ctor -- "PhonePh°ne No - _/...__=__~_~ 15. Is this property within 100 feet of a tidal wetland? *YES NO V' · 1F YES, SOUTHOLD TOWN TRUSTEES PERMITS MAY BE REQUIRED 16. provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OF ) -f ~ being duly sworn, deposes and says that (s)he is the applicant (Name of individual signln.g conff'a~t} above named, (Cofitm~tor,' ' ~~kgent, dorporate Officer, etc.) of said owner or owners, and is duly authorized 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 man/ler set forth in the application filed therewith. Sworn to before me this . (Y~ dayof ,:~yfe~,e~t 20 o/, Notary Public KORIN L BURNS