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HomeMy WebLinkAbout29758-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29864 Date: 12/02/03 T~IS CERTIFIES that the building ALTERATIONS Location of Property: 475 RABBIT L~k EAST NL~RION (HOUSE NO.) (STREET) (HAMLET) Cou/lty Tax Map NO. 473889 Section 31 Block 17 Lot 13.5 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 1, 2003 pursuant to which Building Permit No. 29758-Z dated SEPTEMBER 24, 2003 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 INTERIOR RENOVATIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. Ge certificate is issued to FR3kNK & JOANN M VENTURA (OWNER) of the aforesaid building. SUFFOLK COUN=ffY DEPARTMENT OF ~RALT~ APPROVAL ELECI~ICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DA'l~u3 Rev. 1/81 N/A 112237 08/30/02 12/01/03 KING PLU~4BING & HEATING Author 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. 29758 Z Date SEPTEMBER 24, 2003 Permission is hereby granted to: for : FRANK & JOANNM VENTURA 36 ROE AVE PORT JEFFERSON STA,NY 11776 INTERIOR RENOVATIONS & ALTERATIONS TO EXISTING SINGI,E FAMILY DWELLING AS APPLIED FOR.-REPLACES BP #17178-Z-(FEE INCLUDES $100.00 FLOOD PMT) at premises located at 475 RABBIT LA County Tax Map No. 473889 Section 031 pursuant to application dated JULY Building Inspector to expire on MARCH EAST MARION Block 0017 Lot No. 013.005 1, 2003 and approved by the 24, 2005. Fee $ 250.00 NOTE: THIS PERMIT DOES NOT INCLUDE "AS BUILT" DECK OR SHED. Rev. 5/8/02 COPY FORM NO. 0 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COUNAPLETION OF THE WORK AUTHOR)Z£D) N9 017178 Z Permission is hereby granted to: /~ ........... ...~,.a.~...~..~ ......................................... · ...... at premises located at ...~.......~.........~.~...~......~...~ ....... ..,~....q~..~.....,.....~...~ .......... County Tox Map No. 1000 Section ...... .~...~.~. .......Block ......... I...2. ........ Lot No ...... [.~.:..?... ..... pursuant to application dated ....... ...~.~....~..1~ .................. , 19.~...~..., and approved by the Building Inspector. Building Inspector Rev. 6/30/80 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: A. 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, 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. Copy of Certificate of Occupancy- $.25 4. Updated Certificate of Occupancy- $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 New Construction: Location of Property: x x Old or Pre-existing Building: 475 Rabbit Lane Date. November 25, 2003 (check one) East Marion Street Hamlet Block 17 Lot 13.5 Filed Map. Lot: 9/24/03 Applicant: Underwriters Approval: House No. Owner or Owners of Property: V e n t u r a Suffolk County Tax Map No 1000, Section 3 1 Subdivision Permit No. 29758 z Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ c~ ~-'-. C)O Date of Permit. Final Certificate: .,/x,. (check one) Applicant Signature Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 - · {.bUd Building Permit No. Owner: ~"~b O ~: BUILDING DEPARTMENT TOWN OF SOUTI-IOLD CERTIFICATION Date: (Please print) Plumber: to~ p/~....~,,,~ , ,~ (Please print) J f I certify that the solder used in the ~vater supply system contains less than 2/10 of 1% lead. (Plumbers S/ignature) Sworn to before me this [-~'c- day o~ ~e~- , 20 O.'~ Ztary Public, "~'~- . County ROBERT I. SCOTT. JR. Notary Public, State of New York Qualified in Suffolk County No. 01SC4725089- Term Expires May 31, LONG !SLAND ELECTRICAL INSPECTION SERVICES, INC. 670 MIDDLE COUNTRY ROAD Application No,: ST. JAMES, NEW YORK 11780 Permit Number: (631) 265-3075 Block: Fax (631) 265-6057 Section 112237 0171782 Lot: Owner: Ventura Agent: Ventura Address: 475 Rabbit Lane Address: 475 Rabbit Lane Municipality: East Marion NY East Marion NY OwnerPhone: License//: direct Agent: No. ITEM SIZE No. ITEM SIZE No, J.,TEM 14 Switches:.. 0 SubFeeds: 0 PoolsAbvBIo: 22 Receptacles: 0 Timers: 0 PoolslnGround: 4 GFCI Devices: 1 Transformers: bell 0 Pools Filter: 3 Dimmers: 0 ACEqulpmentCentral: 0 Pools Lights: 4 MedlumBaseFIxtures:, I ACEqulpmentWIndow 20 A 0 CO Detectors: 0 FluroescentFIxtures: 0 MotorsbyHP= 0 Disposal: 0 HID: 0 Generators: 0 Metal Halide Lamps: 0 RangeOvenCookTop: 0 WhlrlpoolHotTub: 0 RefrlgUnlta: 0 DryerElectrlc: I Microwave: 0 WalklnBox: 0 ExhaustFans: 0 WaterHeaterElectrlc: 0 ExhaustUnlt: 3 CeillngFans: 0 SmokeDetectors: 0 SteamShower: 0 DW: 24 TrackLIghflngStrip: 24' 0 BreadWarmers: 0 Laundry: 0 ElectrlcHeat: 0 GarbageDisp: 0 HeaflngEqulpMotors: 0 PumpMotor: 0 CentralVac: 0 ExltSIgns: 0 ~ Disconnects: 0 ChandellerLlffs: 0 EmergencySlgns: 0 FutureOutlets: 0 ElevatorLIfts: SIZE LOCATION OF WORK; [~Basement []FirstFIoor [] SecondFIoor [] Outside [] Addition [] Survey [] New Const. Commen[s Cottage F[enovation ,c B/R - L/FI - Bath - Kitchen - Porch First floor and Loft area / Additions ~OF[ ~ UG [] Amp: Temporary [] Wire Conductor # of Phase: .1_ Volts: ~ Type: CU Size: ~4 Meters: PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616, SOUTHOLD, NEW YORK 11971 TEL631-765-2954- FAX631~I4-3516 · e-mail: joseph~fischetti.com Southold Building Department Main Road Southold, NY 11971 Date: Reference: June 17, 2003 475 Rabbit Lane Dear Sir, The as built deck at 475 Rabbit Lane was originally New York State Codes at that time. constructed in the 1980's and was constructed to Joseph Fischetti, PE PROFESSIONAL ENGINEER 1725 HOBART ROAD / PO Box 616, SOUTHOLD, NEW YORK 11971 TEL631-765-2954 , FAX631~14-3516 · e-mail: joseph@t'~sche~li.com Southold Building Department Main Road Southold, NY 11971 Date: Reference: August 27, 2003 475 B Rabbit Lane Dear Sir, Mr. Ventura has requested that I evaluate the renovations to his house to see if the "substantial improvement" limit of 50% has been reached. The improvements to the above referenced home as related to me by Mr. Ventura are the following: 2. 3. 4. 5. New kitchen cabinets and countertops New Skylights in the kitchen Replacement windows Vinyl siding installed over existing siding New deck installed. Means Residential Cost Data published by R.S. Means Company, Inc. which is a construction industry source for construction costs provides the following cost breakdown for a 1 story frames dwelling of average construction. I have converted the square foot costs to a percentage of the total costs. These are noted as *: *Specialties; Kitchen cabinets and countertops *Exterior Walls: Siding, building paper, windows, doors Wood Decks Skylights Additional percentage for interior sheetrock replacement in kitchen Total % renovations to the 5% 18% 2% 2% 2% dwelli P.E. posa! R~vation O~ Summer cot'~a0~'i R~f~am~'And Inst~ll~AI'~ Windows. And ~ors -~ New La.ut .... h: ~ ~3 ' Frame ~d Install Skyliqh~ts-;~> Refrain. Int~or Wallup~tltions~.As Per Layout Build 5~ft' Over orGh And B~room'Area ~n~es And Count~rtoQ? pae~h T~ A~b~stoA sh{nql~m Around* 'E~terior Of'W%ndow~ And Doors 'Con Ctor To' ~ *Removal~:'Of, Debris Respons~bifit~:/Of',H6meowner(s) '~ '%.' . : ' ~' ~ro~us~ he~e~y to furmsh, material anc~ abor -2 comp ere in accordance with above specifications, for the sum of: Six Thousand ....... _ ' "-- ' - .- 6 000.00 [0 De matte as fotlows: dollars ($ ) $500.00 Deposit On Con{:ract, $1,00010O,On St'art; $7,500.00 W/In 7 Days Frr~m Start, Si,g00.00 W/In 14 Days Of Start, $1',500.00 On Completion. CASH Authorized Note: [his proposal may be 3 withdrawn by us if not accepted within Arreptaure o[ roposa[ --The above pr,ces, sDeohcations '~'-. andcona,tlons are satisfactory 7b~'~ma~' Youareaulnonzed and are hereby accepte~. Date of Acceptance: ~m~ as oulhnea above. Ii CONSUMERS KITCHEf:I & BATH HOLBROOK, N.Y. t I741 51 ~-563-3200 TOwrq CLErLK OFFICE OF THE TOWN CL, ERI( TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 24, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2) new forms to be used under tFte Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Developmen~t Permit Application" [FDP(93)], and "Certificate of Compliance for Development in Special Flood Hazard Area [C/C(93)}. BLDG. TOWn_pLsou-mo _. Southold Town Clerk August 25, 1993 TOWN OF SOUTHOLD APPLICATION # PAGE I of 4 FLOODPLAIN DE'~rELOPMENT PERMIT APPLICATION This form is to be filled out in duplicate. ~.CTIQN 1: GENERAL PRQVISIONS (APPLICANT to read and 1.. No work may start unLil a permit is issued. .T Thc permit may be revoked il' any false statements are made bcreba. 3. If revoked, all work must cease until permit is re-issued. 4. Development shall not be used or occupied until a Certificate o( Compliance is bsued. 5. The permit will exph'e ff no work is commenced within six montks of issuance. 6. Applicant is hereby informed that other permits may be requ/red to luff'ill local, state and federal regulatory requirements. 7. Applicant hereby gives consent to the Local Admbbtrator or his/her representativ~ to make ieasonable inspections required to veri/y compli~,-ee. S, l, 'I~E A.~VUCAJ'~, ~RTI~Y' THAT A,LL STA'T~ HEREIN AJqD I~l A'I~ACH~ .~N'I'S TO _ 'I~IS A/:'PL/C_.ATION ,A. RF~ TO THE BE.ST OF MY/r,R]qOWI~DGF~ TRUE ,AND ACC~JRATE,/ SECTION 2: PROPOSED Db--VELOPMENT ('Fo be completed by APPLICAh'T} NAME ADDRESS TELEPHONE PROJECT LOCATIOIq: To avoid delay ia proce.~ing the application, please provide enough information to easily identify the project Iocatiom Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to the nearest iatersectLng road or '.vcll-k~ow-a l~afidmazk. A sketch attached to dais appl]cation showing thc projccJ location wouJd be helpful FOP(93) AJ~PLICATI ON ~ PAOE 2 OF 4 DESCRIPTION OF WORK (Check all applicable boxes): A STRUCTUKAJ~ DEVELOPMENT ~CWIVITY ,STRUCTURE [] New Structarc [] Addition [] Alteration [] Relocation U] DemoUtioa ' [] Replacement [] Residen6al (12, F~nily) ID Residential (More than 4 Family) [] Non-residential (FloodprooFmg? Ul Yes) [] Combined Usc (Residential & Commercia]) [] Manufactured (Mobile) Home (la Manu- factured Home P~k?. [] Yes) ESTIMATED COST OF PROJECT B. OTHER DEVELOPMENT ACTIVITIES: UI Fill [] Mining IZl Drilllng El Grading [] Excavation (Except for Structural Development Checked Above) -- ' [] Watercourse Alteration (Including Dredging and Channel Modifications O Drainage Improvementz (Including Culvert Work) Ul Road, Street or Bridge Construction [] Subclivision (New or Expansion) CI [ndNidual Water or Sewer System U Other (Please Specify) After completing SECI'ION 2. APPLICANT should submit form to Locxl Ackainistrator for review. ~EC'TION 3: FIJDODPLAIN DETERMINATION (Fo be completed by LOCAL ADMINISTRATOR) Thc proposed development is located on FIRM Panel No. , Dated_ The Proposed Development: [] Es NOT located in a Special Hood Hazard Area (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PER/vflT IS REQUFRED). [] Ix located in a Special Flood Ha.zxrd Area. FIRM zxm¢ designation is 100-Year flood elevation at thc silo is: Ft. NGVD (MSL) U] 1,3 a available [] Thc proposed development is located in a floodway. FBFM Panel No. Dated C] Sec Section 4 for additional instrucl~oas SIGNED DATE APPLICATION PAGE 3 OF' ,1 SECTION 4: ADDITIONAL INFORMATION REQUIRE~To hc_completed bvL C¢~ADMINISTRATOR~ Thc appl~cam must submit thc documents checked below before the application can be processed: 23 A site pla~a sho~mg thc location of all cxa6ting structures, water bodies, adiaccm roads, dinaensions and proposed development. [] Development plans, drawn to scale, and spedficatiOns, including where applicable: details [or anchoring structures, proposed elevation of lowest floor (indud[ng basement), types ol'water resistant materials used below the flu-st floor, dctail~ of floodproofing of u611ties located below thc first floor and details o( cndos~es below thc first floor. Also, El Subdiv~iou or other development plans (If the subdivision or other development exceeds 50 Iotz or 5 acres, whichever is the lesser, the applicant must provide tOO-year flood elevatiohs if they are not otherwise available). [] Pla~ show/rig the ex'tent of watercourse relocation and/or laadform alteratiom. [] Top of new fill elevation Ft. blGVD (MSL). [] Floodproo£mg protection level (non-residential only) Ft.' NG'VD (MSL). For floodproofed structures, applicant must attach certification [rom registered engineer or architect. [] Certilicatiou from a registered engineer that the proposed activity in a regulatory floodway wSll not result in ~ increase in the height of the 100-year flood. A copy of all data and calculations supporting thJ~ ['mding must also be submitted. Other: ~;E(3-TIQN $: PERMIT DETERMINATION (To be completed bY LOq~AL ADMIIq!~Si'RATQR} I have determined that the proposed activity:. A~ [] Is B. [] la not in c~nformance with provisions of Local Law ~ , 19 . The permit is iasucd subject to thc conditions attached to and made part of this permit. SIGNED , DATE ~l~)3'( A i~ checked, the LocM Admin&,trator may issue a Development Permit upon paymenl of desigmated [ BOX B i~ cb_ecked, the Local Administrator ,.,All provide a writtea summary o( deficiencies. Applicant may revise and resubmit ma application to the Local Administrator or may request a bearLng /rom the Board of Appeals APPF_A~LS: Appealed to Board of Appeals? CI Yes ID No Hearing date: Appeals Board Declzioo --- Approved? CI Yes Conditioms C] No APPLICATION # PAGE 4 OF 4 SE(TFIQN 6: A~.BUILT ELEVATIONS (To be submiued by APPLICANT before Certificate 0f Compliance is issued'l The following information must be provided for project structures. This section mast be completed bY a regSstered prof¢.~ional engineer or a licensed land surveyor (or attach a cerOfica6on to this application). Complete 1 or 2 below. Actual (As-Built) Elevation of the top of ~he lowest floor, including basement (in Coastal Hith Hazard Areas, bottom of lowest structural member of the lowest floor, exdudlng piling and columns) is: .FT. NGVD (MSL). 2_ Actual (A~-Built) Elevation of floodproof'mg protection is FT. NGVD (MSL). NOTE: Amy work performed prior to submittal of the above information Ls at the risk of the Applicant. ,.SECTION 7: COMPLIANCE ACTION (To be completed by LOC,aL ADMINISTRATOR'} The LOCAL ADMID/ISTRATOR will complete this section aa applicable based oo inspection of the project to easure compliance with the community's local law for flood damage prevention. INSP~ECTIONS: DATE BY DEFICIENCIES? [2] YTz~S [] NO DATE BY DEFICIENCI~.,S? UI YES UJ NO DATE BY DEFICIENCIES? [] YES [] NO SECTION 8: CERTIFICATE OF COMPLIANCE(T0 be comple[ed DY LQq;AL ADMINISTRATOR'} Certificate of Comptiance L~ued: DATE: BY: Attacb-ment B 8AJ{PLE CERTIFICATE OF COI{PLIkNCE for Development in a Special Flood Hazard Area TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD ~ A~EA (OVSq'¢gR MUST RETAIN THIS CERTIFICATE) PR~MISES LOCATED AT: PERMIT NO, PERMIT DATE OViNERS NAME AND ADDRESS: CHECK ONE: [] NEW BUILDING [] EXISTINg BUILDING [] VACANT LAND THE LOCAL ADMINISTRATOR IS TO COMPLETE A. OR B. BELOW: COMPLIANCE IS HEREBY CERTIFIED W1TH THE P~EQUItLEMENTS LOCAL LAW # ,19 SIGNED: DATED: COMPLIANCE IS HEILEBY CERTIFIED WITH ~ REQUIKEMENTS LOCAL LAW # ,19__, AS MODIFIED BY VARIANCE # DATED SIGNED: DATED: OF OF C/C(93) INSPECTORS (516) 765-1802 VICTOR LESSARD, Principal CURTIS HORTON, Senior VINCENT R. WIECZOREK, Ordinance ROBERT FISHER, Assistant Fire Building Inspectors THOMAS FISHER GARY FISH OFFICE OF BUILDING INSPECTOR TOWN OF SOUTHOLD SCOt! L. HARRIS, Supervisor Southold Town Hall P.O. Box 1179, 53095 Main Road Southold, New York 11971 Fax (516) 765-1823 Telephone (516) 765-1800 February 8, 1993 Frank & Joan Ventura 61 Hollow Road Stony Brook, NY 11790 Re: Building Permit #17178-Z Premises: 475 Rabbit Lane, East Marion, NY Suff. Co. Tax Map #1000-37-17-13.5 Dear Mr. & Mrs.Ventura During a review of our files it was noted that the above building permit has expired, and a Certificate of Occupancy has never been issued. According to the Code of the Town of Southold, Article XXVIII 100-281 and 100-284 a building permit is needed for any construction of additions, accessory structures or new dwellings, and it is unlawful to occupy or use said structure until a Certificate of Occupancy has been issued. Please contact this office as soon as possible so that we may clear up this matter. Thank you for your cooperation in this matter. Very truly yours, N~UTHOLD TO. BUILDING DEPT. Victor Lessard, Principal Building Inspector TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NEW YORK STOP WORK ORDER TO: John Ventura & ors. (Owner, Owner's Agent or Person Performing Work) P.O. BOX 460, Stony Brook, N.Y. ]]790 (Address of above-named person) YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 475 Rabbit Lane, East Marion, N.Y. 11939 (Address where work is to be stopped) TAX MAP NUMBER 1000-31-17-13.5 Pursuant to section 100- 14 I of the Code of th~ Town of Southold, New York you are notified to immediately sUspend all work and building activities until this order has been rescinded. BASIS OF STOP WORK ORDER: No building in any district shall be erected, reconstructed, restored or structurally altered without a building permit duly issued upon application to the Building Inspector. CONDITIONS UNDER WHICH WORK MAY BE RESUMED: When Building Permit has been issued. Plans of alteration work must be submitted with application. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: 6/20/88 Vincent R. Wieczorek BUILDING INSPECTOR / CODE ENFORCEMENT OFFICER TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NEW YORK STOP WORK ORDER TO: John Ventura & ors. (Owner, Owner's Agent or Person Performing Work) P.O. BOX 460, Stony Brook, N.Y. 11790 (Address of above-named person) YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 475 Rabbit Lane, East Marion, N.Y. 11939 (Address where work is to be stopped) TAX MAP NUMBER 1000-31-17-13.5 Pursuant to section 100-141 of the Code of th~ Town of Southold, New York you are notified to immediately suspend all work and building activities until this order has been rescinded. BASIS OF STOP WORK ORDER: No building in any district shall be erected, reconstructed, restored or structurally altered without a building permit duly issued upon application to the Building Inspector. CONDITIONS UNDER WHICH WORK MAY BE. RESUMED: When Building Permit has been issued. Plans of alteration work must be submitted with application. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. DATED: 6/20/88 Vincent R. Wieczorek BUILDING INSPECTOR / CODE ENFORCEMENT OFFICER TOWN OF SOUTHOLD BUILDING DEPARTMENT SOUTHOLD, NEW YORK TO: STOP WORK ORDER John Ventura & ors. (Owner, Owner's Agent or Person Performing Work) P.O. BOX /460, Stony Brook, N.Y. 11790 (Address of above-named person) YOU ARE HEREBY NOTIFIED TO SUSPEND ALL WORK AT: 475 Rabbit Lane, East Marion, (Address where work :s to be stopped) TAX MAP NUMBER 1000-31-I7-13.5 N .Y. 11939 Pursuant to section 100- 14 I of the Code of the Town of Southold, New York you are notified to immediately suspend all work and building activities until this order has been rescinded. BASIS OF STOP WORK ORDER: No building in any district shall be erected, reconstructed, restored or structurally altered without a building permit duly issued upon application to the Building Inspector. CONDITIONS UNDER WHICH WORK MAY BE RESUMED: When Building Permit has been issued. Plans of alteration work must be submitted with application. Failure to remedy the conditions aforesaid and to comply with the applicable provisions of law may constitute an offense punishable by fine or imprisonment or both. BUILDING INSPECTOR / CODE ENFORCEMENT OFFICER 765-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [~f/ROUGH PLBG..~ FOUNDATION ZND [ ~ INSULATION [~RAMING [ ] FINAL 7GS-XS02 BUILDING DEPT. INSPECTION [ ] FOUNDATION 15T [~/ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION ~FRAMING [ ] FINAL REMARKS: DATE 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ J FOUNDATION 2ND [ ].~JLATION [ ] FRAMING ['/]' FINAL *DATE 765-~.110Z BUILDING DEPT. iNSPECTION [ ] FIREPLACE & CHIMNEY REMARKS: ~ - ~-- FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ]/~SULATION FRAMING /~ [/] FINAL ;I~LD ~ ........ u,, I{DATE II FOU~DATION (1st) FOUNDATION 2. ( 2nd ) ROUGH FRAME & PLUMBING 3. INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONA'L COMMENTS: FORM NO. 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL $OUTHOLD, N,Y. 11971 TEL,: 765-1802 Examined · · .~ ..~. :~.:~ ....... 19 P .q Approved .¥ x.4.,~. ,~.c 19~?(. Permit No. ~! '7,' ' TM "';': Disapproved a/c ..................................... BOARD OF HEALTH ............ 3 SETS OF PLANS ............ SURVEY ..................... CHECK ...................... SEPTIC FORM ................ NOTIFY CALL ..................... MAIL TO: ~.(J. ~O ~, <q c4 .C~. '~z',-,--~:~.~. · (Building Inspector) APPLICATION FOR BUILDING PERMIT Date 2~,. o. ., 19 .b. ? INSTRUCTIONS a. Tiffs 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 of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by tiffs application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such 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 whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. 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, ad. ditions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housine code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspec.~_tions. /. (Sigrlature o/' applicant, or name, if a corporanon) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber 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) 576 ~28"//~ / Builder's License N6..~..."',~...~X'~- . - .~. · · .... Plumber's License No ......................... Electrician's License No ....................... , '.': ' ~'&%, ~" ':;~A '~ ', J~-., Other Trade s License No ..................... ~,JL '~ ........ · ' ' wil' ~e done ' 7. ...... ....... ............... House Num her Street Hamlet County Tax Map No. I000 Section ........ ~..T ...... Block ...... /. :7 ......... Lot...l.~ ~7 ......... Subdivision ..................................... Filed Map No ............... Lot ............... (Name) State existing use and occupancy of premises and intended use and occupancy of proposed construction: a Exstn u ~( ~ ~ ~(~ '~¢ ~ · ' ' g se and occupancy .................. b. Intended use and occupancy . .~f.~ ~. f-~-~" ~'' 'f'~~~ ................................ 3. Nature of work (check which applicable): New Building Addition .......... Alteration . .~ ........ Repair ............. Removal .............. Demolition .............. Other Work ............... 4. Estimate'd Cost /: 'C ~ ~ ~ -~ (Description) .......... ) ............................ Fee (to be paid on filing this application) 5. If dwelling, number of dwelling units .... ~. ......... Number of dwelling units on each floor If garage, number of cars If business, commercial or mixed occupancy, specff~ nature and extent of each t~ype of use 7. Dimensions of existing structures if any' Front L~' '~ D ,:~. '~ ............. : ....... ,,,. ., -- ,.~ ,. ' - .-. ............. ,,ear . :..,;. ..... Denth "& / height -< ..-Z. t.. I ..... Nmnber of Stories [ ~- .....a ........... Dimensions of sempe structure with alterations or add, itions: Front '~ ........ -} ......... Rear .. Depth ..... ~..,.~ ............ Height .... ~ .-~ .............. Number of Stories .~ ............ 8. Dimensions of entire new construction: Front ............... Rear ............... Depth ... Height ............... Number of Stories .......... .... 9. Size of lot: Front .~...~ ~' ,- ~)~.3'~ ........................ : ............ 10. Date of Purchase ..... z",,~ '-'~:'' ~" ~" ]>~ear .. :: .... ~.Z' .....2 ..... ~rP,,_t~h '' ;'~+,'/" ? ....... 11. ' ................. : ..... c~ameo~t~ormerowner Z.~ .... ~3.['..~..<%.t.~..~ tx,, Zone or use district in which premises are situated .......................... , .............. 12. Does proposed construction violate any zoniw, law ordinance or reoulatio-. % ~- ' ............ 13. o , o ..... v .... ~ ........... Will lot be regraded ...... ~. ~5... ~,. ........... Will excess fill b,e removed from premises: 14. Name of Owner of premises ~-~L~,0 d~2' .b.:...¥ f.,7.c,.% . Address~(. ~.~ ~ ~&~t~ ~ / 2~ ~- Phone No ,~-~z ~' · . ~ '/~;,,[..','~,',: .... , ........... Name of Architect ,~ c ¢~ ~ ,, -,! ?:, .... ,,,- · - ~ ·. ·, ..........^uaress ........ Phone N i'~ame of Contractor~. o./I,,-~ c,: ,,~ ~.-~ ,,t t ,~ ~ .... ~ ,J t~j~ 'A'.'; .... °'F-'/' -o~ 't' ~'; -P Is thi ................. ) ...... ~uuress ...:.i ..... ;:.~ .... PhoneNo') t~"l~o 11 "! 15. s property located within 100 feet of a tidal wetland.* *yE'$'.'.':2~i~'.'.~-~''' · If yes, $outhold Town Trustees Permit may be required. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or comer lot. if copper tubing is used for water distributing PLUN7gER CERTIFICAT/©M system; pipincj shall be ON L.?/4 D CONTEA/T BEFO?:Z of Wpes K or L only CERT2F/C : TE OF OCCUPA;/C' UNDERWRI ES 9CCUPANC¥ USE IS U ILA VFUL WITHOUT OF OCCUPANC'/ APPROVED AS NOTED DATE: ,',%/,Ch~/,~ ',~ B.P. # '~ '7 ! '? ? ~ FEE: C~-B o '~ BY: !~ c~.~. N~I~ BUILDING OEPARTMENT AT 7654802 9 AM ~ 4 PM FOR THE FOLLOWING INSPECTIONS: 1. FOUNDATION ~0 REQUIRED ~ FOR ~URED CONCR~E 2. ROUGH - ~MING & PLUMBING 3. INSU~ON 4. FINAL CONS~UCT~N MUST 8E COMPLETE FOR C.O. ~.,' *"~- ,~ ..... ALL CONSTRUCTION SHAM. MEET ...... '''' ~' ' ";' -~"~'~' ~ ' T above named[. me et naJv dual sLgnmg contr~MffiNG~ ~TATE CONi~N t ~Nl[{i ~ W~ UN~ N~ CODES. ~ ~8~SIBLE FOR Hc ~s thc ~ING ~ ~RI~ . DESIGN OR C~U~ON ERRORS (Contractor, agent, corporate officer, crc.) o~ said owner or owners, ~d is duly authorizcd ~o perform or haw p~ffo~cd ~h~ said wo;~ and to m~c and ~]c ~PpiJcatJon; ~hat ali statements contained ~ this application are truc to thc b~st o~h~s ~nowlcdgc and bclic~; and that thc wor~ w~[ bc pcffo~d in the m~ncr scr ~orth in thc application ~1cd thcrcwith. Sworn ~o before mc .............. ....... ...... , Notaw Public. ~ ~ ~ ~ ~ Coun ~' / '~- ty ' ' ~. 4707878, ~flolk T~ tx~t~ ~afch ~0. 1~ (Signature of applic~t) LAKE MARION N 22' 20' 16' ELEVATIONS IN 1929 iVCVD THIS ENTIRE PARCEL ~S IN FLOOD ZONE AE EL 9. SOURCE: MAP NO. S6103C0177 3 EFFECTIVE DATE MAF 4, 1998 SUPVEYED: T JAHU,~.Y 200,.~ TM# 1000 031-1'-0135 EAST GUAPANTEED TO- FRaN~, M V£NTURA JOANN M \,ENTURA SCALE ]"= 30' SURVEYED SURVEY OF ~,RE.A = 8,594 43 S.F. OR DESCRIBED PROPERTY o.~97 ~,~'-- ~ S~TUAFE MARION, TOWN OF SOUTHOLD SUFFOLK COUNTY, N.Y. SURVEYED BY FOR: FRANK M. VENTURA STANLEY d. ISAKSEN, dP. JOANN M. VENTURA P.O. BOX 294 NEW SUFFOLK. N.f. ] 1956 1. 26 MA~ D3 C'O~RECf T~X M~P NUMBER 05~ ~O7