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Home My WebLink About26063-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-28862 Date: 09/12/02 TI{IS c~TIFIES that the building Location of Property: 48850 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 70 subdivision Filed Map No. __ ADDITION SOUTHOLD (STREET) (HAMLET) Block 7 Lot 10 Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated AUGUST 6, 1999 pursuant to which Building Permit No. 26063-Z dated OCTOBER 21, 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 SUN-ROOM ADDITION TO EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to JOHN H. & GAYLE BIRKMIER (OWNER) of the aforesaid building. SIIFFOLK COUIFi~f DEPART?4ElqT OF ~R~J~Tt~APPROV~J~ N/A ELECTRICJkL CERTIFICAR]¢ NO. 65324 08/29/02 PLU~BERS CERTIFICATION DA'i'M N/A 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. 26063 Z Date OCTOBER 21~ 1999 Permission is hereby granted to: JOHN H BIRKMIER & WF. 48850 MAIN RD SOUTHOLD~NY 11971 for : CONSTRUCT A SUNROOM ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. at premises located at 48850 County Tax Map No. 473889 Section 070 pursuant to application dated AUGUST Building Inspector. MAIN RD SOUTHOLD Block 0007 Lot No. 010 6 99 and approved by the Fee $ 75.00 ~~u~t] r zed Sl~re Rev. 2/19/98 COPY Form N~. f~ APPLICATION FOR CERTIFICATE OF OCCUPANCY TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 This application must be filled in by typewriter OR ink and submitted to the building inspector with the following: 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 sitJ plan requirements. 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 Occupancy - New dwelling $25.00, Additions to dwellin~25~ of 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 Buildine - $100%00 3. Copy of Certificate of Occupancy - ~ .25~ 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date . .~...~..... 4~.....J/~... ................... New Construction ........... Old Or Pre-existing Building ........ ..~..~.... Location of Property....~..~.~..~,~..~/r~/...~.~ ..... ~.~.~...~.;...~... ......... House No. Street Hamle~ Onwer or Owners of Property ........................... fz .z.¥f.. loc o County Tax Map No 1000, Section O/~ Subdivision .................................... Filed Map ............ Lot ...................... Permit No.~.~.Q.4.~. ~ .~..Date Of Permit.~Z~/f.~ ..... Applicant..~.~A~.~..~./~.K.~[~./~..' Health Dept. Approval. ..~//~. Underwriters Approval ../~../.~...(~J ...... ..................... 5;2 Planning Board Approval ........................ Request for: Temporary Certificate ........... Final Certicate. Fee Submitted: Co e 288'62 Electrical Znspec Hon CerHf ica Date Electrical Inspection Service, Inc. A~_~lication # 08/29/2002 375 Dunton Avenue 65324 East Patchogue, New York 11772 (631) 286-6642 Issued to: Jack and Gayle Birkmier Street: 48850 Main Road Village: Southold Zip: 11971 Section: Block: Lot: Town: Southold Introduced by: Ice Electric (L) Lic.# 4586~E was ex~m/ned ~nd found fo b~ in compliance ,wi~h ~h~ AlaHonal El~cfrical Cod~ ~VFPA 70 [] Commercial []NV Defects [] Pool [] fst FIoor []Indoor [~Basement [] Hot Tub [] Residential [] Der. Garage [~Attic []2nd FIoor []Outdoor [] Addition [~Survey Switches Receptacles Fixtures GFI Heaters A/C Fans 5 12 10 4 4 Dishwasher Washer/Amp Dryer/Amp Oven Range/Amp Garbage Disposal Furnace Oil Gas Circulator Meter Amps Phase UG/OH Telephone 1 200 I []/ [] Other Equipment: 1-1/Y/md Stora~Te Gara~Te Smoke Detector Bell Transformer Television Carbon Monoxide Building Permit # Hugo S. Surdi President Rough Inspection: 07/23/2002 Inspector: Ed Scavelli Final Inspection: 08/27/2002 Inspector: Ed Scavelli This ced:ificate must no~' be altered in any manner. Inspectors may be identified by their credentials JOHN :,~: ,...~%~ 1o o o, · YCaI¢: -~,.. EDUCATION LAW.-':c" COPIES OF THIS SI THE LAND SURVEYOR'S I~KED EMBOSSED SEAL SHALL NOT ONLY T~TL~ COmPA~. · 07-62~60! · BUILDING PERMIT REVIEW CHECK LIST Applicanff '~Op/,,O ~/. Owners Name: Architect/ Engineer: ~ ~-~ SCTM #: District: 1.000 Section: '7t5~ Block: Project Single & separate Requzk-e~ certification: (Yes~ No] Req . · [Front Yard ~ Proposed: · Date /~'~-/I ~ ~.- Reviewed: Submitted: CP7 ~ot: Fo(, subdivision / Project Description: Req. Actual: ] [Lol coverage Proposed:__] [Side YArd /...~ Proposed: 1 [Rear Yard .~'-'0 Proposed: __l AGENCY PERMITS REQUIRED FOR REVIEW Suffolk County Health Dept. New York State D.E.C. Town Trustees Town Zoning Board approval: Town Planning Board approval: Flood Pla~8 Elevation ??? Flood Zone: permit N.A. NO YES Number Notes: 765-1802 BUILDING DEPT. ,~ou~NSPECTION [ ATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~UNDATION 2ND [ ] INSULATION [//~MING [ ] FINAL DATE I NSPEC'rOR/,,/'-~,.,.~ ! 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION2ND [ ] IN~JLATION [ ] FRAMING [~] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: O/~ j DATE~__/~ INSPECTION REPORT DATE COMMENTS 'NDAT[ON (IST) I] I~I ~ ' INDAT ION ( 2~ ) " ~ ~ FRAME & PLUMBING II II II II II JI 7 II II II II ]1 1[ II II II II ]1 ~f tl Il I1 fl II II fl It II g~TION PER N.Y. Ii H II STATE ENERGY II II II II CODE Il , fl {{ {{ II 41 II I1 II ADDITIONAL COMMENTS: FORM NO. I TOWN OF SOUTNOLD BUILDING DEPARTMENT TON HALL SOUTHOLD, N.Y. TEL: 765- 1802 1197 I Di saab, roved a/e .................................. APPLICATION FOR BUILDING PERMIT INSTRUCTIONS BOARD OF HEALTH ............... 3 SETS OF PLANS ............... SURVEY ........................ CHECK ......................... SEPTIC FOP, H ................... a. This application mtqt be o:~,pletely filled in by type~iter or an ink and SUtl~itted to the Building Inspector wl 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan sho, ring location of lot and of buildings an praises, relationship to adjoining pr~ises or public streets or areas, and giving a detailed description of layout of property ~nst be dr~a on the diagr~n qnich is part of this application. c. The ~ork covered by this application may not be cmaenced before issuance of Building Permit. d. Up~ approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such pan,it shall be kept on the premises available for inspection throughont the ~ork. e. No building shall be occupied or used in ~Jaole or in part for any purpose ~hatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATIC[~ IS ~Y ~ to the Building l)epa~i~ent for the issu~ace of a Building Permit pursuant to the Building Zo~ Ordinance of the To~n of Southold, Suffolk C~nty, Ne~ York, and other applicable La~s, Ordim~aces or [k~gulatio~ks, for the coastrc~ztion of buildings, additions or alterations, or for r~l~al or ti~mlition, as herein described. The applicant a~Lces to d~.....ly vith all applfrahle l~s, ordinances, building code, housing cede, and regulations, a~d to a~mlt anthorised inspectors on prpmises and in building for necessary inspections. (Signature of applicant, or na~, if a corporation) (Mailing a&lress of applicant) State ~ahether applicant is o~ner, lessee, ~gent, architect, engineer, general contractor, electrician, plt~ber or builder /~ , , ~, ~ - ............... ~.~'~.4 ~ .~.~ .~?-~ .......................................................................................... ~ O~ o~ler o[ pr !s eS .............. ., ......... /- .... ~- ............ .~ .... [ ................................... (as on the tax roll or latest deed) If applicant is a corporation, signature of duly ~athorized officer. (Nare and title of corporate officer) Builders License No .......................... Plmbers License No .......................... Electricians License No ...................... Otl~r Tr~l~'s License No ..................... ,. Location of land on ~,,.hich proposed .rk will be deee....~.?'..~'. ~....~../..~..~-.~H.~ ......................... ......................................................... ........................... Ib~se ~her Street Ha~et County TaxMap No. ](30{2) Section .... .O..?...C~. ..... Block ...... ~..~. ..... I~t ..0.../...0. ....... Subdivision ...................................... Filed Hap No ................ Izt ............... (~,~) State existing use and occupancy of lm~f. md. inte~, use and occupancy of proposed construction: a. Existing use ~ occupancy ........ ,~'...~-~ff.. ~'..~.'~.?. ~ .................................. {.. ~.ut6re of ~°rk (d~..k v~id~ applicable): Ne~ lk~ilding .......... /Vklition .... ~". ..... Alteration .......... Repair ............ ~,,~.~al ............. Ik~ol~ition ............ Other 14ork .............................. ..-- ~Deseription) . ......... ~. Esti~mted Cost ....~. ' fee .............................................. ,(to be paid on filing this application) ,. If okvelling, nurber of d~elling ~mits ............ Huuber of d~lling anlts on each floor ................ If garage, nmi)er of cars ....................................... .. If business, commercial or mfa~d occupancy, specify nature and extent of ead~ type of use ...................... .... ..... Di~nensions of existing Dei,, ......................... of ories .... ......... l)i~ensioos of sine structure with alterations or additions: Front .... ~..~. ...... Bear .... ./.~. ....... Devth ..... 7..$..: ........ ~i~,t .................... ~r of Storie~ ...... /..~< .... / / Dimensiorm of entire ne~ construction: Fro~t . .~..~.. ....... Rear ../.~- ~ ' ............. Depth . .,~.. ......... Deight .......... .~. z ............ Nmber of Stories .../ ................ · ~ ............................... ,,,... nepm .................... I. Zone or use district in ~hich pr~nises are situated .......... ~ ~ ................................. 2. Does proposed construction violate any zoning 1~, ordinance or regulation: .... ~ .............. Nme of Arddtect ~', ~/_c~ V'l ~<, batdress .............................. Phone No ............... 5. Is this property within 300 feet of a tidal ~etland? ~ YES .......... ti3 ....~..... *IF YES, SUI/ll~n ~i~ Ti~mi~q i~ HAY BE I~_~UIt~.- PLOT DIAGRAI5 I~cate clearly and distinctly all buildings, ~bether existing or proposed, and indicate all set-back dL~enaions property lines. Give street and block nuuber or description according to dead, and sho~ street hanes and indicate t~ether interior or corner lo~. duly s~rn, deposes and .says that he is tim appl. ic~a}C k~orn to before me this Applicant) is the ................................................................................................... (Contractor, agent, corporate officer, etc.) .,mid oaner or oumers, and is duly authorlwed to ~rfo~ or h~ ~rfo~ tim ~id ~ ~ to ~ ~ file this ~lication; ~at all star--nfs c~ta[~ in ~is a~l. ication are t~ to ~e ~st of his ~1~ a[fl ~liefl a~ ha~ the ~ will ~ ~r[o~ in tbe ~mmr ~t forth in ~e a~licaci~ ~i1~ t~. / N OCCUPANCY OR USEIS UNLAWFUL WITHOUT CERTIFICATE OFOCOUPANCY UNDERWRITERS CERTIFICATE , ~" "'. ~ '~"~"<n APPROVED AS NOTED DATE: .~2 B.R # ~*~ NOTIFY BUILDING DEEARTNIENT AT 765-1802 9 AM TO 4 PM FOR THE FOLLOWING iNSPECTIONS: 1, FOUNDATION - TWO REQUIRED FOR POUREO CONCRETE 2, ROUGH - FRAMING & PLUMBING 3. INSULATION 4. FINAL - CONSTRUCTION MUST BE COMPLETE FOR C.O. ALL CONSTRUCTION SHALL MEET THE REQUIREMENTS OF THE N.Y. STATE CONSTRUCTrON & ENERGY CODES. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS