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Home My WebLink About31607-ZFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEP)~RTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31343 Date: 12/21/05 THIS CERTIFIES that the building ADDITIONS/ALTERATION Location of Property: 12995 SOUNDVIEW AVE SOUTHOLD (HOUSE NO.) (STREET) (HAMLET) County Tax Map NO. 473889 Section 54 Block 2 Lot 13 Subdivision Filed Map No. Lot No. __ conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 15, 2005 pursuant to which Building Perr~it No. 31607-Z dated NOVEMBER 16, 2005 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 "AS BUILT" ALTERATIONS AND ADDITIONS INCLUDING METAL DECK ADDITION ~ ENTRY WAY ADDITION AS APPLIED FOR. ~e certificate is issued to M~LRy AiFN ROBISON (OWNER) of the aforesaid building. SD-FFOLK CO~ DEPARTMENT OF ~ALTH APPROVAL ELECTRICAL CERTIFICATE NO. PLUMBERS CERTIFIC3%TION DA'£~ N/A 2081219 N/A ~~Au/z~ S i gnature z2/os/os Rev. 1/81 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. Submit Planning Board Approval of completed site plau 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 showiug 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 dwelliug $25.00, Alterations to dwelling $25.00, 3. 4. 5. Swimming pool $25.00, Aecess.ory building $25.00, Additions to accessory building $25.00, Businesses $50.00. Certificate of Occupancy on Pre-existing Buildiug - $100.00 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $ l 5.00 New Construction: Location of Property:/2~ ~-- ttouse No. Owner or Owners of Prope~Xy: /t~i,/ /~fld~L,_ Suffolk County Tax Map No 1000, S~tiou Subdivision Old or Pre-existing Bnilding: ,,/' Street o ~//JcAJ Block perrmt No. ,L~GO'7 _~_._ Date of Permit. Health Dept. Approval: Planmng Board Approval: Request for: Temporary Certificate Fee Submitted: $ ~. (check one) Hamlet Lot 1.3 Filed Map. Lot: Applicant: Underwriters Approval: Final Certificate: l.' (check one) · Applicant Signature FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 31607 Z Date NOVEMBER 16, 2005 Permission is hereby granted to: MARY ANN ROBISON PO BOX 1472 SOUTHOLD,NY 11971 for : AS BUILT ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. ADDITIONAL CERTIFICATIONS MAY BE REQUIRED. at premises located at County Tax Map No. 473889 Section 054 pursuant to application dated NOVEMBER Building Inspector to expire on MAY 12995 SOUNDVIEW AVE SOUTHOLD Block 0002 Lot No. 013 15, 2005 and approved by the 16, 2007. Fee $ 300.00 ~d~Signat uu_ ORIGINAL Rev. 5/8/02 [] [] BY THIS CERTIFICATE OF COMPLIANCE THE NEW YOrk BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORk, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by DOROSKI ELEC. INC P.O. BOX 781 CUTCHOGUE, N.Y. 11935, MARY ROBISON 1299 SOUNDVIEW AVE SOUTHOLD, NY 11971 Located at 1299 SOUNDVIEW AVE SOUTHOLD, NY 11971 Application Number: 2081219 Certificate Number: 2081219 Section: Block: Lot: Building Permit: BDC: ns11 Residential 1200-1799 square fi. Described as a occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Attached Garage, Outside, A visual inspection of the premises electrical system, limited to electrical dewces and wiring to the extent detailed herein, was conducted in accordance with the requirements of the applicable code and/or standard promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith onthegth Day of December, 2005. Name ~ Rathe Rating Circuit Type Miscellaneous as built-1965-with minor improvmcnts later Appliances and Accessories Exhaust Fan Dish Washer Range Air Conditioner Etectric Heater Unit Electric Heater Baseboard Electric Heater Baseboard Electric Heater Baseboard ~ Electric Heater Baseboard ~ ~lectric Heater Baseboard ~ ~lectric Heater Baseboard ~ 51ectric Heater Baseboard ~ump Motor ~Viring and Devices 3 0 F.H.P. 1 0 1.2 KW I 0 40 amp Amps 2 0 30 Amps ! 0 1.2 KW 5 0 .25 KW 5 0 .375 KW ll 0 .5 KW I 0 .625 KW 2 0 .75 KW 3 0 1.0 KW 2 0 1.25 KW I 0 1 H.P. Continued on Next Page I of 3 seal This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by DOROSKI ELEC. INC P.O. BOX 781 CUTCHOGUE, N.Y. 11935, MARY ROBISON 1299 SOUNDVIEW AVE SOUTHOLD, NY 11971 Located at 1299 SOUNDVIEW AVE SOUTHOLD, NY 11971 Application Number: 2081219 Certificate Number: 2081219 Sec'.ion: Block: Lot: Buirding Permit: BDC: ns11 Described as a Residential 1200-1799 square fl. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below located in/on the premises at: Basement, First Floor, Attached Garage, Outside, 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 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 8th Day of December, 2005. Name QTY Rate Rating Circuit Type Outlet 47 0 Fixture Fixture 41 0 Incandescent Fixture 6 0 Flourescent Outlet 103 0 General Purpose Receptacle 66 0 General Purpose Switch 49 0 General Purpose Dimmers 5 0 Receptacle 1 0 20 amp Laundry Receptacle 1 0 30 amp Dryer GFCI Circuit Breaker 1 0 20 amp Receptacle 2 0 GFCI Paddle Fan 1 0 Disconnect 2 0 60 amp Air Conditioner Service 1 Phase 3W Service Rating 300 Amperes Service Disconnect: 2 150 cb Meters: 1 seal Continued on Next Page 2 of 3 This certificate may not be altered in any way and s validated only by the presence of a raised seal at the location indicated. BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS EIUREAU OF ELECTRICITY 40 FULTON STREET ~ NEW YORK, NY 10038 CERTIFIES THAT Upon the application of upon premises owned by DOROSKI ELEC. INC P.O. BOX 781 CUTCHOGUE, N.Y. 11935, MARY ROBISON 1299 SOUNDVIEW AVE SOUTHOLD, NY 11971 1299 SOUNDVIEW AVE SOUTHOLD, NY 11971 Located at Application Number: 2081219 Section: Block: Described as a Lot: Residential 1200-1799 square fi. 2081219 Certificate Number: Building Permit: BDC: ns11 occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Basement, First Floor, Attached Garage, Outside, 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 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other authority havingiurisdiction, and found to be in compliance therewith on the 8th Day of December, 2005. Nmne QTY Rate Rating Circuit Type An as built inspection, of the delineated electrical installation, determined that an obvious hazard is not present and the installation is believed to be in eomformancc with the applicable reference standard for thc estimated period of construction of the premises wiring system. se~l 3 of 3 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated, ITECNOLOGIES t34~M~nl~.md, Maff~]ck. NcwYoek 11952 November 10, 2005 Southold Town Building Dept. Southold, N.Y. 11971 Re: Ms. Mary Ann Robison 12995 Soundview Ave Southold, N.Y. 11971 S.C.T.M. # 1000-54-2-13 This letter is to certify the following: Mr. Frank Notaro R.A. has inspected the additions and its structure to the existing house built back in 1976 and certifies that all of the existing as-built has been built properly and complied with the codes of their period. If you have any additional questions please feel free to contact our office at 631- 298- ITECNOLOGIES November 10, 2005 Southold Town Building Dept. Southold, N.Y. 11971 Re: Ms. Mary Ann Robison 12995 Soundview Ave Southold, N.Y. 11971 S.C.T.M if 1000-54-2-13 This letter is to certify the following: Mr. Frank Notaro R.A. has inspected the additions and its structure to the existing house built back in 1976 and certifies that all of the existing as-built has been built properly and complied with the codes of their period. If you have any additional questions please feel free to contact our office at 631 - 298-' TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING / STRAPPING [ ,/]~INAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION DATE INSPECTOR iITECNOLOGIES l~4~ Ms~R~d. Matgtm~ N~wyr~ llgea2 ~1.29g.1129 fax: 631.29g.1128 December 15, 2005 Southold Town Building Dept. Southold, N.Y. 11971 Re: Ms. Mary Ann Robison 12995 Soundview Ave Southold, N.Y. 11971 S.C.T.M. Cf 1000-54-2-13 BP.Cf This letter is to certify the following: Mr, Frank Notaro R.A. has inspected the existing steel deck, the deck is about 20 yrs. old and it is in satisfactory structural condition. The owner of the premises should consider replacement of the deck in the future due to its age. The top tread of the exterior stair has been repaired and it is now in satisfactory condition. Enclosed please also find an Underwriters Certificate prepared by Doroski Elec.lnc. If you have any additional questions please feel free to contact our office at I 6 ~005 " FIELD INSPECTION REPORT FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE DATE COMMENTS FINAL TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 ~v~w. northfork.net/Southold/ PERMIT NO. Approved Disapproved BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning B.~td approval .'-~._..~/eff_~) ~ ..~___~ Survey ~ Check ~ ~o~ ~/ /~6~ Septic Fo~ N.Y.S.D.E.C. Trustees Contact: APPLICATION FOR BUILDING PERMIT Date INSTRUCTIONS Mail Phone: II { ~ ,20D5 a. This application MUST bo completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 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 sh~ll be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part/hr 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 with/n 12 months after tho 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 lbr 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. (Signature of applicant or name, ifa corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises If applicant is a corporation, signature of duly authorized officer (As on the tax roll or latest deed) (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. County Tax Map No. 1000 Subdivision (Name) Location of land on which proposed work will be done: House Number Street Section Filed Map No.~ ot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Addition Repair Removal Demolition Other Work Estimated Cost Fee If dwelling, number of dwelling units If garage, number of cars Alteration (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 Rear_ Height Number of Stories Dimensions of same structure with alterations or additions: Front Depth Height Number of Stories _Depth __ Refit 8. Dimensions of entire new construction: Front Rear Height Number of Stories 9. Sizeoflot: Front Rear Depth Depth 10. Date of Purchase I0 -O'7. /~'75Name of Former Owner l 1. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES mNO ~'. 13. Will lot be re-graded? YES NO ~- Will excess fill be removed from premises? YES NO ~- 14. Names of Owner of premises ~t,~)/~to~ ~n~,,'~ID Address ~CoraOtJ>, ~.,/. I1¢2t. rhone ~'~o. Name of Architect ?-~?/~ ~b)r, qP~D Address gO.~ Name of Contractor. Address Phone No. 15 a. Is this property within 1 O0 feet of a tidal wetland or a freshwater wetland? *YES * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO ~-, * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO )ts 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 %Ui:¢o~ }~O~ I~-~,?.,le ~ cL~R~'~q4~)t'rkt')~5 k-A- being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)tle 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. Sworu to _before me this ,~ ,~ __~/, 2y of C/'~ 20.~.3 Notary Public Signature ~)f Applicant - now or former/j/ Hughes $ 37°54'50" E 150. 00' N 47° 46' 00" vv 85.90' ¢ o'¢ PiORT'ON"$ LANE HoRTON LANE SCALE: I'= 20', (~ 2005 SURVEY OF: DESCRIPTIVE PROPERTY FILED MAP: LOCATED AT: SOUTHOLD, TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK TAX DESIG.: DIST 1000; SEC. 54; BLK. 2; LOT I,] HOUSE ~TS I~RE TAKEN r"-RO~ A SURVEY PREPARED EY ANIHONY H LEHANOOH~KI I.S, DATED SEP~ ~ I97.9 AND HAVE NOT OEc'N VL~FIED. 7NE EXISTENC~ Of' RIGHT Of- WA Y~J AND/OR EASEMENTS OF I~CORD, IF ANY, NOT ~'lOJffV ARE NOT C~R17FIED THOMAS MA TARA?70 LAND SURVEYOR 52 SEQUOIA WAY, HOLBROOK, NY 1174~ FAX/PHONE 1-6,31-472-0968 CERTIFIED TO: C.O. SURVEY for addition only NOT TO BE USED FOR TITLE PURPOSES TITLE NO.: DATE: OCTOBER 22, 2005