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Home My WebLink About26771-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28852 Date: 09/09/02 THIS CERTIFIES that the building ADDITION & ALTERATION Location of Property: 500 FANNING RD NEW SUFFOLK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 6 Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 10, 2000 pursuant to which Building Permit No. 26771-Z dated SEPTEMBER 13, 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 ADDITIONS & ALTERATIONS TO EXISTING SINGLE F~ILY DWELLTNG AS APPLIED FOR. The certificate is issued to SCOTT & GINA TYLER ( OWNER ) of the aforesaid building. SUFFOLK COLIN=Iq[ DEPARTMElqT OF H]~J~TH APPROVAL ELEC-I~ICAL C~{TIFICATHNO. PLUMBERS CERTIFICATION DA'rF~3 07/29/02 N/A 51008 09/03/02 WM. KNOERNSCHILD //thoJized/Signature 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. 26771 Date SEPTEMBER 13~ 2000 Permission is hereby granted to: SCOTT & GINA TYLER PO BOX 93 NEW SUFFOLK~NY 11956 for : ADDITION & ALTERATION TO A SINGLE FAMILY DWELLING WITH ATTACHED TWO CAR GARAGE AS APPLIED FOR. at premises located at 500 County Tax Map No. 473889 Section 117 pursuant to application dated JULY Building Inspector. FANNING RD NEW SUFFOLK Block 0006 Lot No. 002 10, 2000 and approved by the Fcc $ 999.80 A~ Signature ORIGINAL 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 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). 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. 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 consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, thc 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 - $25.00 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: Date. ~-~¢- 02.._ Old or Pre-existing Building: t/~ (check one) House No. Street Owner or Owners of Property: ~'r.:O 1~- a~ Suffolk County Tax Map No 1000, Section Hamlet Block Ooo{o Lot Subdivision Permit No. O..[oU ~7 I 7__ Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ 9.~. oo Filed Map. Lot: DateofPerrrfit. Cl[t~[~*0 Applicant: ..~ +~ t¢0g, 'Txlt-~,q._ ><~dnderwriters Approval: Final Certificate: (check one) Town Hall, 53095 Main Road P.O. Box 1179 Southotd, New York 11971-0959 Fax (631) 765-1823 Telephone (631) 765-18C BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: v( .'2-q , oq..- Building Permit No. 2-(~ *7 t~ I '~ Owner: ~04>TF -l- Gl~ Tx/aifZ_ (please print) Plumber: (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 ~ dayof~c~,~w , 20. o~ , .c / '----; / Notary Public, t.~..4-go I~c County (Plumbers'Signatfife) ~I, COUE/INE MARIE GA'FZ Nola~ Public, State of New Yofl{ No. 01GA6015316 ~ualified In Suffolk Count,/ Elec rical Znspec Hon CerHf /ca Date Electrical Inspection Service, Inc. A_~elication # 09/03/2002 375 Dunton Avenue 51008 East Patchogue, New York 11772 (631) 286-6642 Issued to: Scott Tyler Street: 500 Fanning Rd Village: New Suffolk Zip: 11956 Section: Block: Lot: Town: Southhold Introduced by: Modern Electric East Inc. (L) Lic.# 4253-E was ex. mined =nd found ?o be in comp/lance wi?h ?he IVa?ional Elecfr/cal ~'ode IVFPA 70 [] Commercial ~NV Defects [] Pool [] lst FIoor []Indoor []Basement [] Hot Tub [] Residential [~ Det. Garage ~Attic []2nd FIoor []Outdoor ~ Addition ~Survey Switches Receptacles Fixtures GFI Heaters 64 61 82 10 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp 1-20A 1 20 1 20 Gas Furnace Oil Gas Circulator Smoke Detector X X 9 Meter Amps Phase UG/OH Telephone Television I 200 1 [] ~ Other Equipment: 1-40 07cuit W/ l~ain 1- V~ell Pump 20A 1-Jacuzzi 20A GFI A/C Fans 2 2 Garbage Disposal Bell Transformer 1 Carbon Monoxide .~/'lding Permit # Hugo S. Surdi President Rough inspection: 04/17/2001 Inspector: Ed Scavelli Final Inspection: 08/28/2002 Inspector: Ed Scavelli This certificate must not be altered in any manner. Inspectors may be identified by their credentials Charles M. Thomas, Architect P.O. Box 877 Jamespor~, New York 11947 (631) 727-7993 e mail: cdthomas63~aol, com August17,2000 Town of Southold Building Department Main Road, NY. 11971 Re: Dear Sirs, Tyler Residence (addition/alteration) 500 Fanning Road This letter is to confirm that the existing septic system located at the above referenced property is in conformance with the Suffolk County Dep. of Health Services minimum requirements for residential construction. Thank you for your attention to this matter. Very trul~urs, ,/~ 0 STATE OF NEW YORK ) ) SS: ) being duly sworn, deposes and says: That deponent is over the age of 18 years and resides at Thatonthe '~ dayof..~(~. ,2000deponen a~nitec~engineer, licensed by the State of New York, hereby states that s/~eh~accepts full responsibility for the accompanying plans compliance with the New York State Fire Prevention and Building Code (9 NYCRR); said plans pertain to property IocatedatSCTM# 1000- i1'7- O& ~ ~ .. , street address Sworn to before me this -'~ 4+, day of ~'-)jj~'.t~ ,~ 2000. ~tary Publi§~NNAM. LEVY/ _ N~afy Public, State of New Yo~ No. 4875563 Qual_~ed in Suffolk Coun~ Comml~ion i:xpires November 3, ~'~" cc: Applicant BUILDING PERMIT I,}EVIEW CHECK I JST Applicant/ ~ Owners Name:~DCt~ Architect/ Engineer: ~'h~ SCTM #: District: 1,000 Section: Plojec[ Single & separate Required certificamm (Yes / No} -- Block: % Lot: ~"X~O-x-O S -fSr~L" Subdivision O~Name: Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Plane Elevation ??? Flood Zone: Date Reviewed: Date Submitted: ~-}~ [Lot ~q ,FrontYard ~' Pro~s~ Project Description: AGENCY PE~ITS Permit ~QUI~D FOR~VIEW N.A. NO ' YES Number ?"~--"~ .gO ) Notes: /~,- ~U:d,, 3/p/x/= .9-.,~ 15.,,,I~aO.-cP"' 500 7Ya~,a,~ °~a~ 712~102 Pear Southold Town Building Department, We are writing to request an extention of permit #26771z that was issued to us on September 13, 2000. We are nearing the completion of our construction. Sincerely, 765-1802 BUILDING DEPT. INSPECTION [ ~FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: /~P/(-9~ /~//~/ INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] F/~OUNDATION 1ST [ ] ROUGH PLBG. [ r.,/] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMA~~- // 7G5-~.802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [ ~//ROUGH PLBG. [ ].~)UNDATION 2ND [ ]INSULATION ~' FI [ .~MING [ ] FINAL [/~ FIREPLACE & CHIMNEY REMARKS: INSPECTOR INSPECTION [ ] FOUNDATION 2ND [//]~ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY c, REMARKS: ~ /~~ jDATE ~~/ INSPECTOR ~/~,~/~// 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]~~.ATION [ ] FRAMING [,~/J' FINAL [ ] FIREP~E & CHIMNEY DATE INSPECTOR 765-1802 BUILDING DEPT. INSPECTION [ ] FRAMING F ] FINAL UNDAT T~2N (IST) UNDATION ( 2ND ) II ,UGH FRAME & PLUI~B[NG 7SULATION PER N. Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: FOR~ NO. I TO~I OF SOUTHOLD BUILDING DEPARTMENT TOI~ HALL SOUTNOLD, N.Y. 1197 TEL: 765-1802 ..... ........ Di~ a/c .................................. ;.~ ..... ; :: ', ~ ~ (~ildi~ I~tor) [_ 1 ~0"/,'~ Of S ~T ~0 ~D INSTRUCTIONS SURVEY ........................ CHECK ......................... SEPTIC FORM ................... NOTIFY: CALL ' MAIL TO: .................... 3 sets of pl~s, sccurate plot plan to scale. Fee according to schedule. b. Plot pla~ d~wing location of lot and of buildings on praises, relationship to adjoining premises or public streets or areas, and giving a detailed description of la. ut of pmparty must be drmm on the dingrm ~nich is part of this application. c. The ~ork covered by this application may not he c~m.~sced before issuance of Building Permit. d. Upon approval of this ,,pplication, the Building Inspector ~eill issue a Building Pemit to the applicant. Such Pamit ~hall be kept on tbe. pt~.,ises available for inspection threughont the wrk. e. No building shall be occupied or used in ~,t~ole or in par~ for any purpose ~/aatever ontil a Certificate of Occupancy shall have been grasted by the lkdlding Inspector. A~'PLICATIC[~ IS ~.~¥ ~ to ~ Building 1)epa~r,,~ut for ~ issua~e of a Building Pemit pursuant to the Building Zo~ Ordinar~ of ~ To~ of Scuthold, Suffolk County, N~ York, and other ,~pplicable La~s, Oniinaaces or ' P,~ulati~, for the cermtruction of buildings, ~taitions or alterations, o~for r~va~ ~de~olition, as herein described. ~ applic~t agrees to c~?ly ~rith all applicable l~s, ordin~i~s, buildil ; .c~, ?.using code, and . regulatioos, and to ~4~it ~thorized inspactors on premises and in bui~~ ~i~n ~lect ions. .... (Mailing ad,iress of applicant) t 'fhis application -',-~t be cuupletely filled in by typewriter or in ink and sul~itted to the Building Inspector State ~bed~r applical~t is o~er, lessee, ngent, arahitect, e~i~r, ~mral ~tr~tor, el~trici~, pl~r or ~i]~ ~ of ~r of pr~i~s ~ [T~ LC~ ' · ...................................... (~ ~ ~ t~ mll or latest ~) If a~lic~t is a ~ratim, si~m of ~ly ~t~ri~ officer. (N~ne and title of corporate officer) Builders License llb .......................... Pl,~e_rs License No .......................... Electricians License No ...................... Other Tr~l~'s License No ..................... ~ Nt~ber Street ~let c~ T~ ~ No. ~o ~ion...\\.~. ......... BI~ .... .O.k ........ ~ot ~.~. ........ S~xiivision ...................................... Filed Na~ No ................ l~t ............... 2. ~a~e existing use ~d occupancy of pr~n{ses ~nd intended use and oc~ of proposed construction: h P. ature of ~ork (ct~:k ~tJid~ applicable): l~a Ituilding .......... 3&lition .......... Alteration .......... Repair ............ R~tal ............. Demolition ............ Other 14ork ~Description) Estimated Cost .............. : ......... fee (to be paid on filing this application) If drilling, nunber of d~elling ~mits ............ Ntmber of rh~elling units on each floor ................ If garage, ntml~er of cars ...................................... If business, cum~reial or miat~l occupancy, specify nature and eXtent of each type of use ...................... Oimensioos of existing structures, ifany: Front..g~'-.{-~ Rear ff'~,4~-- Depth Iieight ......................... ltax~r of Stories . Dimensions of ~ structure with alterations or additions: Pront ..~..~.'.~. ....... Rear f~' Depth .................... Height .................... hr of Stories ............... ' .............. Dimensions of entire ee~ construction: Front ................ Rear ............... Depth .... . ........... Height ......................... Nt~ber of Stories ~" ' Size of lot: Front . ! 9 O/ Rear Ioot Depth ...~.o. 12. ............ O. flare of h,rdmse .~.O.0..~...[~.~8. ...... h of Former O~ner .......... ~ ......................... I. Zone or use district in ~hich premises are situated g~Jb~t13q I~L . . . 2. Does proposed construction violate any zoning lin*, ordinance or regulation: ...~..~. .................. 3. Will lot be regraded ....~..O. ............. }/ill e-~ess fill be nsarr~ed h-em premises: ~ N0 Narc of Architect .C.~..~..K/..C.~.~.?J~'Z~....~' ............... Address . i~.kxJ..~d~.:.~..~. J.~. .............. ll~ne No..~.~..?.-.?.~fl..~.. h of Contractor ...~..~)?)~ .~.x/.1.4 ............. ~... &klress ....~..~...~...~..%!.% .............. Phone 1~...~.~.:/..~.-~..~.. 5. Is this property within 300 feet of a tidal ~tland? * ~ .......... NO PLOT DIAGRAH I~cate clearly and distinctly all buildings, ~t~ether existing or proposed, and indicate all set-back dimensions property lines. Give street and block r~nber or description according to d~%c'd, and sh~, street nares and indicate hether interior or corner lot. FA'IE t3~ I~I'.M YDI~, OOlgl~ (~ ...................... ....... ...................... ~m, ~ms and rays tl~at be is tbe a~l.i~nt · ~ of i~ivi~t signing c~tract) ............ .............................. (~tractor, ~co~ate offi~r, etc.) .................... [ aid ar or ars, aM is &ty ~fl~riM tu ~rfo~ or ha ~rfo~ fie aid eR ad to mb ~ file this Bl. ication; that atl star--ts e~tai~ in ~is a~limti~ are t~ to ~e ~st of h[s hat the m~ will be ~rfo~ in tl~ miner ~t forth in ~e a~li~ti~ film t~ ....... -, 11E= 375' FAN/VI/VC POAD 81' 21' 30" E FENC~ 100' PROPOSED~. EXISTING GARAGE EX/STING I STORY WOOD FRAME RES. FENCE CDR £ 0.6' N/F FISHER PROPOSED DECK ADDIHON NIT NALD~AN TM1000-117-06-02 GUARANTEED TO SCOTT A. TYLER GINA M. TYLER LONG ISLAND SAVINGS BANK COMMONWEALrH LAND tITLE INS. CO. f-- METAL SHED ON C~VC. FOOTING 81' 21' 30" W N/F INSARDI ~. STOCKADE FENCE S 0. I' · ~ coR 100' S 0. I' FE COR NO. 2' E O. 5' N/F HENNEMEIR SURVEYED 13 APRIL, 1998 SCALE 1"=JO' SUR VE Y OF DESCRIBED PROPER TY SITUATE NEW SUFFOLK, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED FOR SCOTT A. TYLER GINA M. TYLER AREA= 20,000 SF OR O. 459 ACRES GUARANTEES INDICA?ED HERE ON SHALL RUN ONLY TO THE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE ITTLE COMPANY, GOVERNMENTAL AGENCY, LENDING INSTITUTION, IF LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTITUTION. GUARANI'EE$ ARE NOT TRANSFERABLE rD AQQITIONAL INSTI~JTIONS OR SUBSEOUENT OIt~IERS. UNAUTHORIZED ALTERATION OR ADDITION TO THIS SURVEY IS A VIOLA TION OF SECTION 7209 OF THE NEW YORK STATE EDUCATION LAW. SURVEYED BY STANLEY J. /SAKSEN, JR. P.O. BOX 294 NEW[SUFFOLK, NY 11956,/~ - -,; ,/!_ICEIVSC(/ L AND SURV, i~Y,~R ~ NYS L/C. NO. 4~2.73' ," NO£E: 28 AUG., 2000 ADD PROPOSED ADDITIONS