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HomeMy WebLinkAbout30519-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-30637 Date: 12/14/04 THIS CERTIFIES that the building ACCESSORY Location of Property: 7945 M3~IN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 2 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JULY 19, 2004 pursuant to which Building Permit No. 30519-Z dated JULY 28, 2004 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 ACCESSORY NON-HABITABLE UNHEATED GAP~AGE IN THE REQUIRED REAR YARD AS APPLIED FOR. The certificate is issued to RAYMOND & JUDITH JACOBS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF ~EALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N/A N/A 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 UI~TIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30519 Z Date JULY 28, 2004 Permission is hereby granted to: RAYMOND JACOBS & WF PO BOX 255 EAST MARION,NY 11939 for : CONSTRUCTION OF AN ACCESSORY, NON HABITABLE, UNHEATED GARAGE IN THE REQUIRED REAR YARD AS APPLIED FOR at premises located at County Tax Map No. 473889 Section 031 pursuant to application dated JULY Building Inspector to expire on JANU/LRY 7945 MAIN RD EAST MARION Block 0002 Lot No. 028 19, 2004 and approved by the 28, 2006. Fee $ 979.80 / Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUP_an'NCY This application must be filled in by typexwiter 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 Ulmsual 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 amhitect 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, Alterat ons 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: ~ Old or Pre-existing Building: House No. Street Owner or Owners of Property: Suffolk County Tax Map No 1000, Section Subdivision Date. (check one) Hamlet Block ~9 Lot Filed Map. Lot: Permit No. ?~')~'/~ Health Dept. Approval: Planning Board Approval: /L/.~-/ Request for: Temporaw Certificate Fee Submitted: $ olg,.Dr~',, t~ ~ '7-.110- o './ Applicant: /'~-4~t~oa3t'D /- Underwriters Approval: /L/.,,~t Date of Permit. Final Certificate: p'~" (checkone) ) ~pplicant Signt~tr~' LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 November 29, 2004 Michael J. Verity, Department Head Southold Town Building Deparment Main Road Southold, NY 11971 Re: Residence Raymond Jacobs 7945 Main Road East Marion, NY 11939 Barn Permit No. 30519 ~ To Whom It May Concern: I have inspected the strapping of the above mentioned project on October 20, 2004, and found that all the strapping had been installed in accordance with the New Yrok State Building Code and the Southold Town Building Code. Sincerely, /~~/~ ~~ce M~. Tuthill, P.E. LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P,O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 AuguSt 6, 2004 Mr. Michael J. Verity, Department Head Southold Town Building Department Main Street Southold, NY 11971 Re: Garage Raymond Jacobs 7945 Main Road East Marion, NY Permit # 30579 Z 11939 rence To Whom It May Concern: I have inspected the site of =~--- ~ ~ the newly poured concrete foundation for the garage at the above mentioned residence with respect to the removal of the concrete form ties and the parching of these holes in ~reparation of the waterproofing of the foundation wall. his work meets the requirements of the New York State Building Code and the Southold Town Building Code Sincerely, M. Tuthill, P.E. Applicanff ArchitecV SCTM//: Distric: J.000 Section: ~ / Block. 07[- Lot °~-~ Ih'ojecl Date Reviewed: Date Submilled Subdivision Suffolk Comity Health'Dcpt ,~ New York State. D. E; C. .../// row, r,,~t~ . / Town Zonln. g Board approval: _ Town Plmmi~ Board approval: :/ Flood Plane Elevation ?~ Flood Zone: LAWRENCE M. TUTHILL PROFESSIONAL ENGINEER P.O. BOX 162 GREENPORT, N.Y. 11944 (631) 477-1652 December 6, 2004 Mr. Micael J. Verity, Department Head Southold Town Building Department Main Road Southold, NY 11971 Re: Barn Raymond Jacobs Residence 7945 Main Road East Marion NY 11939 Permit No. 30519 ~ To Whom It May Concern: I have inspected the above mentioned baRN ON December 5, 2004 with reference to the height limitation requirement of the Southold Town Building Code being 18' mean height above grade base~.on_th~ average the shingles to the soffit under the eaves 8'-7". This gives an average of 15'~ The average heigh~f the fill at the base of the foundation to the bottom of the shingles is about 1'-7". The total height of the average height is 16"-7" does not exceed the limitation of height above grade of the Southold Town Building Code. Sincerely, rence ~. guthill, 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] F~J,INDATION 2ND [ ].~JLATION [//~AMING [ ~ FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS. DATE INSPECTOR~jh 765-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ]IN~J~'I~iON [ ] FRAMING [~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: ~ ~'-~'~-~ / I'OWN OF SOUTHOLD BUILDIN~ DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southoid/ Examined ~f~, 20~L~ Approved ~/~200~ Disapproved PERMIT NO. BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans plnnnin~ Board approval Survey Check Septic Form N.Y.S.D.E.C. Tmst~s Contact: Marl to: Phone: ~-7 7 - rz:&~ i ' B~i~g ~spector a. ~s application ~ST be oompIetely ~flled ~ by ~e~ter or ~ ~ ~d sub~tt~ to ~e B~g ~peotor wi~ 4 sets o~ pl~, aec~te plot pl~ to sc~e. Fee ~o~g to s~hed~e. b. Plot pl~ show~g Ioc~fion of lot ~d o~b~l~gs on pre~sos, ~l~tions~p ~ ~djo~g p~ses or pubIi~ s~s or ~e~, 8nd wste~sys. c. ~e work ~over~ by t~s appelation may not be eommen~ed befo~ ~ssu~e of B~g P~t. d. Upon approv~ o~s applio~fion, ~ B~g ~p~tor will issue a B~g Psat to ~ ~ppH~t. Suoh a ~'~t shall be kept on ~e premises a~able for ~tion ~ou~out the work. e. No b~ld~g s~ be occupied or ~ed ~ whole or ~ p~ for ~y p~ose w~t so ev~ ~ ~e B~g ~po~tor issues a Ce~ifi~te of O~eup~cy. f. Ew~ buil~g pe~t s~I exp~e ff ~ work au~o~ ~ not com men~ ~h~ 12 mon~ ~er issu~ce or ~s not ~en completed w~t~ 1 ~ mon~ ~om such ~te. ~no zo~g ~;~ or o~ ~tiom prepay ~ave been enacted ~ ~e ~te~, ~e B~l~g ~spo~tor ~y au~ofize, ~ w~t~g, ~e e~o~ion of addkion six mon~s. There~er, a new p~t s~ ~ ~qu~ed. ~PLICATION IS ~BY ~E ~o ~e B~l~g D~t for ~e iss~ce ora Bufl~g Pe~t p~t to Bmld~g Zone Ord~ce of the To~ of Sou~old, Suffo~ Go~, New Yor~ ~d o~ ~pp~cable Laws, ~oes or Re~lafions, ~or the con.orion ofbufl~gs, ~tio~, or aItemfio~ or for ~mov~ or d~o~fion applie~t a~es to comply wi~ all app~abIe laws, o~i~ces, buil~g ~ode, hous~g o~, ~d ~io~, ~d to authored ~spectors on p~ses ~d ~ b~l~g ~or neoess~ ~p~fio~. ' (~ Of ep~t~ ~,~f a co~o~oa) ,2o _q_ (Maili~$ ~ddress of applicant) ~ State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder · / (As on thcg/tax roll or lates~eed) 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. Location of land on which proposed work will be done: 7¢V5' House Nuthber Street Hamlet Cqunty Tax Map No. 1000 Subdivision (Name) Section (~.7) Block ca~' Filed Map No. 2. State existing use and occupancy of premises allld inlended use, ttad occupancy o f proposed constmctiort: a~ Existing useandoceupancy ..~fg~ ~ b Intended ~ '" / ~ 3. Nature of work (check which applicable): New Building ~ Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost 5. If dwelling, number of dwelling units If garage, number of cars Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories 8. Dimensions of entire new construction: Front 'St_~r Rear Height /~'¢~ Number of Stories .,~ Rear 9. Size of lot: Front Rear 10. Date of Purchase /~ ~ .,*' Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO 13. Will lot be re-graded? YES NO t//Will excess fill be removed from premises? YES 14. Names of Owner of premises~ ~eAddress~.~~hone No. Name of Architect ~ ' C/ Address Phone No Name of Contractor Address Phone No. Depth 15 a. Is this property within 100 feet of a tidal wetland or a freshwater xvetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE ~QUIRED. b. Is this property withln 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. 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 ) being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the (Contractor, Agent, Corporate 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 tree to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Swo~n to before me this of, Not. Public NO. fluallfiafl In Suffolk Oou~ ~.