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HomeMy WebLinkAbout29105-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31266 Date: 11/04/05 THIS CERTIFIES that the building ADDITIONS/ALTERATIONS Location of Property: 9625 MAIN RD EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 31 Block 3 Lot 21 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated DECEMBER 20, 2002 pursuant to which Building Permit No. 29105-Z dated JANUARY 15, 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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to PATRICIA GARABRANT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2056189 05/31/05 PLUMBERS CERTIFICATION DATED 12/29/03 MARK BAXTER PLUMBING ///4utf ized ignature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD �p f 3 20�f BUILDING DEPARTMENT TOWN HALL L 765-1802 `, ,to 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'd� elling$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-existin Building- $100.00 3. Copy of Certificate of Occupancy-$.2 4. Updated Certificate of Occupancy- 50.00 5. Temporary Certificate of Occupancy-Residential$15.00, Commercial$15.00 / Date. o S New Construction: Old or Pre-existing Building: (check one) Location of Property: �G S' 1-141,v A; o e,Ld EAis T ISIAZ Ia Al House No. Street Hamlet Owner or Owners of Property: &772/c_A/9. Suffolk County Tax Map No 1000, Section 0,S) Block p�� _� Lot r) / Subdivision Filed Map. Lot: Permit No. o? 9/0 .5, Date of Permit. Applicant: Health Dept. Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: (check one) Fee Submitted: $ r• App li t Signature J e c1r�rJ@PLJc rr tcicti IN 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 NEW YORK BOARD OF FIRE UNDERWRITERS S 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET — NEW YORK, NY 10038 CC5 CERTIFIES THAT Upon the application of upon premises owned by 5 PAT GARABRANT PAT GARABRANT C5 5 9625 MAIN ROAD 9625 MAIN ROAD 5 �5 EAST MARION, NY 11939 EAST MARION, NY 11939 5 C� Located at 9625 MAIN ROAD EAST MARION, NY 11939 c� Application Number: 2056189 Certificate Number: 2056189 c5 Section: Block: Lot: Building Permit: BDC: ns11 5 5 Described as a occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: 5 5 Second Floor,bathroom, 5 5 A visual inspection of the premises electrical system, limited to electrical devices and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 authority having jurisdiction, and found to be in compliance therewith on the 31st Day of 5 May,2005. 5 55' Name 4TY Rate Rating Circuit Tcev5 Miscellaneous as built-2004 5 5 5 Wiring and Devices 5 Switch 2 0 General Purpose 5 Fixture 1 0 Incandescent 5 Paddle Fan 1 0 55 Receptacle 1 0 GFCI 55 5 An as built visual inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is 5 5 believed to be in comformance with the applicable reference standard for the estimated period of construction of the premises wiring system. L+ 5 S 5 5 5 seal 5 1 of I rrS This certificate may not be altered in anyway and is validated only by the presence of a raised seal at the location indicated. S 5 5 oPLffl3s L3rjs 713o �gUFFO(,�c� 0 Town Hall,53095 Main Road 0 • Fax(631)765-9502 P.O. Box 1179 Telephone(631) 765-1802 Southold, New York 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION Date: oec Building Permit No. rn q 0672— Owner: s2.Owner: Pat Qvo6va--O�� (Please print) Plumber: A)a vk. &46V (Please print) I certify that the solder used in the water supply system contains less than 2/10 of 1% lead. �n 1Plumbe s Signature) Sworn to before me this �oDl�/`� o day of c� �►+�_, 20 r ( ac7a3� Notary Public,"`' County BARBARA ANN RUDDER Notary Publk,Stat@ of Nor York ° No.4855886 Qualified in 5ultaUr c4un: rAmmNHlon&W ApAf14, 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. 29105 Z Date JANUARY 15, 2003 Permission is hereby granted to: PATRICIA GARABRANT 10 ALDIN LANE LEVITTOWN,NY 11756 for ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 9625 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0003 Lot No. 021 pursuant to application dated DECEMBER 20 , 2002 and approved by the Building Inspector to expire on JULY 2rizAuth( Fee $ 150 . 00 e Signa ORIGINAL Rev. 5/8/02 765-1802 UILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING FINAL [ ] FIREPLACE & CHIMNEY REMARKS: rr---)e DATE INSPECTOR 769.1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] GH PLBG. [ j FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPL;A5 CHIMNEY REMARKS: DATE INSP M-1802 BUILDING DEPT. INSPECTIO [ ] FOUNDATION IST [ ROUGH PLBG. [ ] t DATION 2ND [ ] INSULATION [ ING [ l FINAL [ ] FIREPLACE A CHIMNEY REM KS � ' o C DATE D INSPECT , M. IL , S•_. 0 p ,- _• - - r.-1h '� ";i..C,-`6 , --�x��;_>_>rf?°` �IaSTMA�iOr\! -rbwN or Eou7ticL-D, N.Y. ( - (moi m o ' 0 •rler IW -kf,fe CSor-I. j7ax M*arasiymw ow a r` O,af:KXDD,5ecf:oar,B'(.M.f�--e.21. ' 1 $A m,;:. } t PROPpsEDy` Z7,-� - 2NOS /N Q - L � fro y �- jj� xQr�CAA : Araaa 3f,0T7»q-P.- �- ll a ^M�MVMO f f 1 If os N(�w}o . 4I-_p 1 1 t:; :- , �yt• � 1 -Cl -in-Hrc vV . �\ �")"""'•-""L:'.5 tc 7'rtfc !rr?Ur�toc CLvrsrnarf� a5 w>'H'v, -i P'f,:rcf+ 7,lam. m \+' t tc•�rw 7 {� Nx{� ` "Y \ l ,/ Y �:I• lti�{ .Yi .,..r.1.,... r✓�c.....I _ - J .-a I �/ .� ! 1 �•�+ f 11j s , f -.rl � ' rte ......u..r..r. -v t,i3V TLfYL1 /' �?..l - I .2 r M �j a•�-t Sf r{4, 1� ��, ,• t ti •. •.. , 11.E _ n ..• tT:bL:=/�:._ . . -ft "� 1 J l✓V -I..J. /L' �:�+. � �_. 1 .. 1 �\ i � t�;.n+. E R'^ f• fes- •r }�rY_. f TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET VILLAGE DIST. SUB. LOT 6 r,*cf f l�rr. ,t Qt�t oaf(' (f i 3 I psem_ (^F��O.RME�Rr OW N t E ACR. '� l f � Wf Lp-+ I- 5{CIPS �,JQ,6 N , LIIGaKAs O ?5O k)0(7; IeY/ M Cd- S W TYPE OF BUILDING RES J b SEAS. VL. FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS Af ` r a I z s c '�tflo L.m,UlooziF� -�ifo9 _zs� Nla r - /oaa o0 6 oa z - L - r AGE BUILDING CONDITION `�Fiiw_C.2/6 1� I .mpy s i'Arn i NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre a -e)- Tillable Tillable 1 Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER yc Brushland FRONTAGE ON ROAD C House Plot DEPTH BULKHEAD Total DOCK L :a ■■■�J■!� B■■■■■■■■■■■■■■■■■■ ■■i■■■ s: il�■■■■■■■■■■■■■■■ �. ■■■■■m■•yyi ■■■■■■■■■■■■■■■■■■■ • Min1. . . a , • Fax (516)765-1823 CA Town Hall, 53095 Main Road Telephone(516)765-1900-, P.O.Box 1179 77 Southold,New York 11971 jo 15 of SOUTHOLD TOWN 1�k4�MARK PRESERVATION COMMISSION TO: Southold Town Building Department FROM: Southold Town Landmark Pres. Comm. —Herb Adler, Jr. DATE: January 14, 2003 RE: Garabrandt Residence at 9625 Main Rd., East Marion Tax Map#31-3-21 SPLIA No. EM 35 With respect to the above referenced residence, the Landmark Preservation Commission has reviewed the submitted plans. With respect to these plans,we find them satisfactory as long as the new windows match the existing and historic structure. FflMD INSPECTION REPORT DATE COMMENTS - w FOUNDATION(IST) C" FOUNDATION(2ND) z Ol ROUGH FRAMING& ✓. e �� PLUMBING INSULATION PER N.Y. STATE ENERGY CODE FINAL ADDITIONAL COMMENT'S O A _ � C x d TOWN OF SOUTHOLD BUILDING PERMIT APPLICATION CHECKLIST BUILDING DEPARTMENT Do you have or need the following,before applying? TOWN HALL Board of Health SOUTHOLD,NY 11971 3 sets of Building Plans TEL: (631) 765-1802 PlanningBoar approval FAX: (631) 765-9502 � Survey www. northfork.net/Southold/ PERMIT NO. 2ti �J Check :& 1,20 Septic Form N.Y.S.D.E.C. Trustees Examined '20 Contact: Approved__ ,20_� Mail to: Disapproved a/c Phone: 7 —Q S.Q '3J Expiration ,20_ Building Inspector F DEC NE= -'� APPLICATION FOR BUILDING PERMIT I � . DateO���., 3v 20oa 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 of buildings on premises,relationship to adjoining 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 Inspector 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 the Building Inspector issues a Certificate of Occupancy. f Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date.If no zoning amendments or other regulations affecting the property have been enacted in the interim the Building Inspector may authorize,in writing,the extension of the permit for an addition six months. Thereafter, a new permit shall be required. 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 removal 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. (Siguaturg d applicanttor name,if acorporation) e / (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician,plumber or builder Name of owner of premises 14 7--A/c, 4 l,F}R�0.4RR.ri T (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. a 843 L H,T, - Plumbers License No. 22,4?�,,O Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: n House Number Street Hamlet County Tax Map No. 1000 Section U.3/ Block 3 'N Lot 2 Subdivision Filed Map No. Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy .pin 9/e 19k 4K re./4'rrwL b. Intended use and occupancy sin Ile r eslwAwld 3. Nature of work(check which applicable): New Building Addition2hd J 4°'1L141 4Alteration Repair Removal Demolition Other Work (Description) 4. Estimated Cost �d0 0o o.o o Fee (To be paid on filing this application) 5. If dwelling,number of dwelling units / Number of dwelling units on each floor /1'.,f If garage, number of cars f.4, 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures,if any: Front Rear Depth Height 9.2-- Number of Stories �. Dimensions of same structure with alterations or additions: Front onQ er R6 Depth Height Number of Stories 8. Dimensions of entire new construction: Front Hyo` Rear Depth Height Number of Stories 9. Size of lot: Front A/• 27 � Rear761 /S � Depth 10. Date of Purchase 10 )?Ife Name of Former Owner AG"Afczs *k-w C.aiu' jdl _ 11. Zone or use district in which premises are situated Oo 12. Does proposed construction violate any zoning law, ordinance or regulation?YES_NO ✓ • 13. Will lot be re-graded? YES_NO V Will excess fill be removed from premises?YES_NO V 14. Names of Owner of premisesAyw/e-j.a 9 arA'609ess '6.7, ZW,4=Phone No. Name of Architect Alen, a Address(so u a wA.Phone No 631-z;iy" a-rq� Name of Contractor ,Ua„ Aysckel Address 397F3"# ,;,,%Ofirht Phone No. 313-"olf 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES NO * IF YES, SOUTHOLD TOWN TRUSTEES &D.E.C. PERMITS MAY B$REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NOv-' * 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: co mai being duly sworn,deposes and says that(s)he is the applicant (Name ofizldrv�idual 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 true 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. Sworn to before me { day of �/i1/ 20 d-2- Notary .2Notary PuFCOMInIssion _ lure of Applicant Karon R. 0albindor Nubile, Stalo of Now York ratlon #01RA604;gg12 00d In Sullolk County Lxporrs Jun, 12. 20 0 BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: APPLICANT: DATE SUBMITTED:,/ /02 SCTM#DISTRICT: 1,000, SECTION: BLOCK: _,S_, LOT: o?� STREET ADDRESS: �,7 CITY: 46w1dA1 SUBDIVISION: PROJECT DESCRIPTION: �ODi770Ns�c>�Z�,�o,tis � �. ESTIMATED PROJECT COST:�o?QL ARCHITECT /07-5-11" FAST TRACK? ,v 0 SINGLE & SEPARATE CERTIFICATION-REQUIRED? /1 #- NOTES: 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 after 7/1/8: ZONING DISTRICT: q CONFORMING? �a REQ. LOT SIZE: ACT. LOT SIZE: /6REQ. LOT COVE ACT. LOT COV. REQ. FRONT yid PROP. FRONT REQ SIDEi�/ ACT. SIDE REQ. REAR ] PROP. REAR REQ HEIGHT PROP. HEIGHT WATER FRONT? II/0 DESCRIPTION: PANEL #: FLOOD ZONE:, APPROVALS REQUIRED SUFFOLK COUNTY HEALTHD of I� BED #):_DTE : / / PERMIT#:R10- TOWN SEPTIC RECEIPT: Y 6jaj vESDTE:—/- - NEW YORK STATE DEC: rxE-DEC 9/1/75 YES SOUTHOLD TOWN TRUSTEES: YES TOWN ZONING BOARD APPROVAL: YES o TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YE O NYS ENERG5min.? 4 M EGRESS (1 sq total) VENT(SQ. FT. x 4%) LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE EE 1. ( SF)- ( SF)= SFX$ =$ +$ +$ _$ 2. ( SF)-( SF)= SFX$ =$ +$ +$ _$ OGf-Icy s?;e A/P,PR 0 AS NOT „ - DATE:JLLL3 B.R/ - � F°E _T ., ."'_' NOTI BUILDING DE TMENT Ai 765.1802 s AM TO 4 PM FOR THE FOLLOWING INSPECTIONS: ^ 1. FOUNDATION - TWO REQUIRED FOR POURED CONCRETE L 2. ROUGH • FRAMING & PLUMBING a INSULATION ' I A FINAL - CONSTRUCTION MUST N I;W BE COMPLETE FOR C.G. Y-1EW a,^Eyt•,�1.Ip �Tor1Y ,.`�F�ITIOfaI ALL CONSTRUCTION SHALL MEET _ �I0t J THE REQUIREMENTS OF THE N.Y. _ STATE CONSTRUCTION A ENERGY CODES. NOT RESPONSIBLE FOR i - - DESIGN OR CONET�IIC�IQP�IOpg , �� - F - — PLUMBER CERT /CAT/ON ON LEAD CONT NT BEFORE ! I - CERTIFICATE O OCCUPANCY I � 1T7 >` L _ 'FOLDER U ED IN WATER I WEN ht� 0 1 f, °LYS CTE;W CANNOT � --+ ----- rLC3 /IG' Of1% LEAD. PLUMBING ALI.PLUMBING WASTE .°s WATER LINES NEED TESTING BEFORE COVERING _ If CO PPar tubing ss used ._." ... _ .. _.— for tm. - distributIng sYsYern:8111 Ing shail be of Was K or L arogv_ UtVDERWRIQRRECERTIFICATE PROVIDE ANTI-SCALD AND/OR THERMAL SHOCK PREVENTING I DFVICES AS TO PART. 902.6(K) � Ce rsl. >✓y�l,, O �_L:�L �' - /'�T�L� R.Y. STATE BUILDING CODE. 'PROVIDE SMOKE-DETECTING ALARM DEVICES AS TO PART. 721.1 OCCUPANCY OR N.Y.S BUILDING CODE, USE IS UNLAWFUL WITHOUT CERTIFICATE brad OF OCCUPANCY ° --- r�D _ W I _W / VAI NF® 0322SA-/ Q` ti �gaFESSWI 13 IL M5, PATR.ICI.A Cn6R.AI'� A1J-I'" q�VLot' }'t1LfT1 2D 111LTLION SCALE. APPROVED By. DRAWN SATE�t:& I[CG4 i�a�i �t•1- 121`1 ,�.Ez=�-�'tf�l..l , g�"DfuU �-lt�r"�: ORA W INO N V MSER I r"' I � - �.