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HomeMy WebLinkAbout31604-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31750 Date: 08/10/06 THIS CERTIFIES that the building ADDTIONS/ALTERATIONS Location of Property: 680 TRUMANS (HOUSE NO.) County Tax Map No. 473889 Section 31 PATH (STREET) Block ~ EAST MARION (HAMLET) Lot 2 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBER 16, 2005 pursuant to which Building Permit No. 31604-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 ADDITIONS & ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to MATTHEW BLOCH & MARILYN PASIERB (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 2092211 07/26/06 PLUMBERS CERTIFICATION DATED 07/10/06 PECONIC PLUMBING & HEAT. ~!.~ ~orrd Si ature Rev. 1/81 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 \ M-~ 10 g.._A.';\-4J\ 'I . ,', " 2 '- -].~ - , 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: I, 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 buildiugs and "pre-existing" land uses: I. 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 Date, 7/10 fOb I I New Construction: Old or Pre-existing Building: ~ro Irv.rl\GU\..1 P6.--'I-L House No, Street ./ (check one) Location of Property: EWI-t- mo.f'l~ Hamlet Owner or Owners of Property: m ().... '\-\-V\ e..vJ v'6 \ 0 e... \.-.. Suffolk County Tax Map No 1000, Section <'1 Block I '2- Lot 'L Subdivision Filed Map, Lot: Permit No. 3\\I)04-?:: Dateofpermit. l\ \ \lD (OJ/' Applicant: -(SO'n('\ v3~, 0\c!.r~ , Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ J),/ VO Underwriters Approval: Final Certificate: ,/ ( check one) ~~.IOI<j\, cO =c ';17.50 ~?-~.~. vr' pphcant Signature ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Located at ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I I!I~~.I!I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ I 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 G & S ELECTRICAL CONTR. P.O. BOX215 SOUTHOLD, NY 11971, MATHEW BLOCH 680 TRUMANS PATH EAST MARION, NY 11939 680 TRUMANS PATH EAST MARION, NY 11939 Application Number: 2092211 Certificate Number: 2092211 Section: Block: Lot: Building Permit: BDC: ns11 Described as a Residential 600-1199 square ft. occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Second Floor, 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 ECnforcement and Administration, or other authority having jurisdiction, and found to be in compliance therewith on the 26th Day of July, 2006. OTY Rate Ratin2 Circuit :ll1!!! Name Miscellaneous second floor addition Alarm and Emergency Equipment Sensor Sensor Wiring and Devices Outlet Fixture Outlet Receptacle Switch Paddle Fan Heat, Light, Vent Receptacle I 0 2 0 Carbon Monoxide Smoke Fixture Incandescent General Purpose General Purpose General Purpose 13 0 13 0 21 0 14 0 13 0 2 0 1 0 I 0 GFCI seal I of I This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. ii!Ji!!ffi! I!I Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971-0959 Fax (631) 765-9502 Telephone (631) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD CERTIFICATION --- Date: --J lJ...-\d 10 LOO'=> \ Building Permit No. '3 HoD 4 ~ Owner: _m[J-..~l:-uJ f6 \o~ (please print) Plumber: Pe.cOAC'(' M-tf (please print) GCO'aE 1': 8ei'rt ;f~ I certifY that the solder used in the water supply system contains less than 2/10 of 1% lead. J;:i~~p / (umers~ ' . 't'L Sworn to before me this _I 0 day of -:r v-l'-1 , 20 0 to 0~ k:.;' 'd, cR~ Notary Public, County VICKI L. LOPER Nolary Public, state of New 'IoIt< No.OIL06071lO81 QualifiodinSUtlQll~I'. Commission EJpim~ 0 James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen John Holzapfel Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0124C Date June 29, 2006 THIS CERTIFIES that the second floor addition and sanitary system At 680 Truman's Path, East Marion Suffolk County Tax Map # 31-12-2 Conforms to the application for a Trustees Permit heretofore filed in this office Dated 6/21/05 pursuant to which Trustees Permit # 6149A Dated July 20, 2005 Was issued, and conforms to all of the requirements and conditions of the applicable provisions of law. The project for which this certificate is being issued is to construct a second floor addition and install a new sanitary system. The certificate is issued to Marilyn Pasierb and Matthew Bloch owner of the aforesaid property. ~o<~ Authorized Signature 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. 31604 Z Date NOVEMBER 16, 2005 Permission is hereby granted to: MATTHEW BLOCH 675 WATER STREET APT 19F NEW YORK,NY 10002 for : ADDITIONS AND ALTERATIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 680 TRUMANS PATH EAST MARION County Tax Map No. 473889 Section 031 Block 0012 Lot No. 002 pursuant to application dated NOVEMBER 16, 2005 and approved by the Building Inspector to expire on MAY 16, 2007. / I L/' ) Fee $ 427.80 ORIGINAL Rev. 5/8/02 3 /(p fJ r-- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] I~TION [ ] FRAMING I STRAPPING [ 41NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: - DATE 7fi'r. INSPECTOR JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 To: Town of Southold Building Dept. Re: Insulation Inspection Bloch 680 Trumans Path East Marion Permit#31604 To Whom It May Concern: After an Insulation inspection was preformed on the above property, it is deemed that all Insulation was installed correctly, and meets all building codes. Any other questions please call. , . ! " "-- ,r;;-. ;;_..... I'. 'J ---_ " I.. I'r. , , " (, ,r ,) -", : -2~ JAMES J. DEERKOSKI, P.E. 260 Deer Drive Mattituck, N.Y. 11952 (631) 298-7116 I <. .r-s 28 " To: Town of South old Building Dept. Re: Framing/PlumbinglStrapping Inspection Bloch 680 Trurnans Path East Marion, NY Permit# 31604 To Whom It May Concern: After a Framing, Strapping inspection was preformed on the above property, it is deemed that all work performed was completed to plans and meets all state and local codes. A Plumbing Inspection was also performed on this structure with a pressure test on the copper and the vent stack being filled with water to the roof. Any other questions please call. \'" \ \'" \ " \ '" \ "\', \\ '\~ ~\IY J~~ili , . J FIELD INSPECTION REPORT DATE FOUNDATION (1ST) FOUNDATION (2ND) ROUGH FRAMING & PLUMBING INSULATION PER N. Y. STATE ENERGY CODE FINAL .., /.^L / / 3l.,y/",/ '7!Jdfll. f f ~ . r~ 1../.-,( /,.....J, ~-U ~ /J~. L IF- jJ J. . j;,~ . . _'~) /' A .c COMMENTS r- 0.. u.., :.1 ~ (" -;-:- ./ 'h_ . 0 /1 U (-jf-- L~ r 0 1/ I"h~ r" .f-. II -JJ. JJu~l-. V I ADDITIONAL COMMENTS ""?~. ( /.. / ) L/ A Y.J ~// - '-/ . / 'V .. ~ /J <Ji/ -;;9".-/ v. .....-r.y~ \ //./ ."'-l}.l _"Il Cl"l a~ .J:-:l .. rD'J> , s:-.:: -"""" ~ 2: o C". 0<,\ o '" .., ~~ ~ 1 ~ f:r;; .., Ql ~ ~ it ) ():) ~ III b /' U1~ \ "Il - ... G~ I .., 0'" ---l~ = 4 :;;J .=p~ l"l "Il ~ Albert J. Krupski, President James King, Vice-President Artie Foster Ken Poliwoda Peggy A. Dickerson Town Hall 53095 Route 25 P.O. Box 1179 Southold, New York 11971-0959 Telephone (631) 765-1892 Fax (631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 6149A Date of Receipt of Application: June 21, 2005 Applicant: Marilyn Pasierb & Matthew Bloch SCTM#: 31-12-2 Project Location: 680 Truman's Path, East Marion Date of Resolution/Issuance: July 20, 2005 Date of Expiration: July 20, 2007 Reviewed by: Trustee Artie Foster Project Description: To construct a second-floor addition to the existing dwelling and install a new sanitary system on the landward side of the dwelling. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code. The issuance of the Administrative Permit allows for the operations as indicated on the survey prepared by Joseph A. Ingegno dated July 14, 2004. Special Conditions: Drywells and gutters must be installed to contain the roof run-off. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 97 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. ~.J9.~'0. Albert J. Krupski, Jr., President Board of Trustees MER Y L K RAM E R architect F:\ ; \1;" . I , ' , \u'u \ 62005 .. --' 1\ '\' L";:,, yc~:::'~-:\ I , '7'),,-,,')0 sQ.'i,:...Lc--.-J Mr. Damon Rallis Southold Town Building Dept. Southold Town Hall PO Box 1179 Southold, NY 11971 VIA FACSIMILE 765,9502 and mailed original November 15, 2005 RE: PASIERB RESIDENCE TAX MAP # 1000-31-12-02 Dear Damon, As per our telephone conversation earlier today, I am writing to certify that the existing septic system for this property will be adequate to senle the proposed addition. Please call with any other questions or concerns, B st e ards, / !i;;;~::~,'.j" *C " (1':,,' /-J ....~~." fJ'-~,f'_- :<'../ ~'(;;~ .\ "., \ .;J'\':;\ ~i\ , , 31 SOUTH STREET p,o, BOX 683 GREENPORT, NY 11944 631-477.8736 631.477.8936 FAX NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION NUMBER 3408100001 CllITYIPROGRAM NUMBER(S) . PERMIT EFFECTIVE DATE 11 April 2005 EXPIRATION DATE(S) 30 April 2010 Under the Environmental Conservation Law TYPE OF PERMIT . New 0 Renewal 0 Modification 0 Permit to Construct 0 Permit to Operate ::J Article 15, Title 5; Protection of Waters o 6NYCRR 608; Water Quality Certification o Article 27, Tolle 7; 8NYCRR 360; Solid Waste Management ::J Article 15, Title 15; Water Supply o Article 17, Titles 7, 8; SPDES o Article 27, TiUe 9; 6NYCRR 373; Hazardous Waste Management ] Article 15, Title 15; Water Transport o Article 19; A'Jr Pollution Control ] Article 15, Title 15; Long Island Wells o Article 23, Tolle 27; Mined Land Reclamation o Article 34; Coastal Erosion Management ] Article 15, Tille 27; Wild, Scenic and Reerea tlonal Rivers . Article 24; Freshwater Wellands o Article 36; Floodplain Management o Article 25; Tidal Wetlands o Articles 1, 3, 17, 19,27,37; 6NYCRR 380; Radiation Control PERMIT ISSUED TO Mari Pasierb ADDRESS OF PERMITTEE 675 Water Street, l. 19F, New YOI1<, NY 10002 CONTACT PERSON FOR PERMITTED WORK M I Kramer, PO Box 683, Green NY 11944 NAME AND ADDRESS OF PROJECTIFACILITY Pasierb , 660 Trumans Path East Marion LOcATION OF PROJECTIFACllITY SCTM;j00ll'iJ31-12-2 .i~J1i/i~":; -t:::':!,Zrr!(;l'~ir": ~h~~,f~:,'" ',;,., >,;\:, .';~ TELEPHONE NUMBER 212-619-3511 TELEPHONE NUMBER 631-477-8736 ,~~~E,~.",,,,,,,,,,,,, "~~~RDj~~S .. DESCRIPTION OF AUTHORIZED ACTMTY: Add a second story to the existing single story residence. All work is to be done in accordance with the attached plans stamped NYSDEC approved. By acceptance of this permR, the permittee agrees lhalthe permit is oontingenl upon strict compliance with the ECL, all applicable IQulations, the General Conditions specified (see _ 2 & 3) and any Spec/a1 Conditions included as part of this permR. PERMIT ADMINISTRATOR: George W. Hammarth, Deputy PermR Adminstralor 9U AUTHOR EDSIGNA~ ADDRESS Region 1 Headquarters Bldg. #40, SUNY, Stony Brook, NY 11790-2356 DATE 1/ ,Jd.5..... Page 1 of4 BUILDING DEPARTMENT TOWN !;IALh SOUTIIDLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 wwW.northfOrk.net!SOUlhOl~7.NO. , r0M/5.-- I~.LL~ . , " ,,". '1! . \.......H: ~"r .,..-..I..".~i..~ Do you have or need the following, before applying'! Board of Health 4 sets of Building Plans Planning Board approval Survey Cheek Septic F onu NY,S,D.E.C Trustees ..,Intact: '. ..', ~ lr-" . t. . ~l~DL Examined Approved Mail to: .- /" - Phone: Disapproved ale . ". .. \ , . <7 1:1' , " \7 ,,-,. .~~~: .:-" , \Vf:. I~\\\\ ". ~2PLICATIONFORBUlLDINGPERMIT '~U\ J\J\-..~ I ~ ..' ........ ~ _ ;,"'~~ '.1 \. L ~ \..... - ,~. Dafe01-I,t.,: ..". \ . - ~C'~'~ ---;:;- ;;-.n:-~ .~~ INsTJRfctieNS ~ . ,..' '\ IS rc " \. ~ lS n \' . -. :." ,.. a . It>p~IrlUuST~] \~\ ly filled in by typ~writer l'r in ink and submitted.to the ~uilding Inspector with 3 sets of plans, a . ~ateplot p~.tO~.i& c\la cording to schedu1~ . :', T }"" ":.~ b. Plot \sh~"lo~t~f lq of buildings on premises, relationship to adjoining premises or public streets or areas, and wat . 1 r c. The ork er~'b'y' t1filraRR\ifati~ may not be commenced before issuance of Building Permit. d. Upo appr~ " . i n, e Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on e 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 South old, 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 onrr. 0 i' rt p~ b~ldi~g!:. n,,_ecessary inspections. J __. ,'r n ''.'1 {-:1 "j <Y.... ....- -. I' 1" l ;: r'~'- '-~',-V~. r~' J/I': i!r" {;il' i....U ,'.uv 92005 I; / L'i ... -ro', ' ..... Expiration " . , .' ..(!. .-' . ,. ,20~ p,~ ~~~in1!;~ I -"""'. , State whether applicant is owner, lessee, agei'it;"atchitect. engineer, general contractor, electrician, plumber or builder (As on the tax TO If applicant is a corporation, signature of duly authorized officer eed) Name of owner of premises (Name and title of corporate officer) Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location of land on which proposed work will be done: bee> '"'TP..\JMt\...tJ\.S 71H"H- House Number Street eAs-r Y'rm~~ Hamlet County Tax Map No.1 000 Section Subdivision ~J Block 12- F~led Map No. '-.... i , Lelt 0'2- Lot -" '. . ,. ~ " (Name) 2. State existing use and occupancy of premises imd intended use and occupancy of proposed construcJion: a. Existing use and occupancy 'Dill"'" 1.1 ~~ ) b. Intended use and occupancy ~"'\t'r 3. Nature of work (check which applicable): New Building Repair Removal Demolition 4. Estimated costj:.l0tl, ()()O 5. If dwelling, number of dwelling units--1 If garage, number of cars Addition Other Work v Alteration (Description) Fee (To be paid on filing this application) Number of dwelling units on each floor 6. Ifbusiness, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions of existing structures, if any: Front-Jig. t6 I Rear it o. " ' Depth Height--..2G".Jt '. Number of Stories.::~- --1 Dimensions of same structure with alterations or additions: Front ~ O. " I Depth ~ ~ _ '2..' . Height ~"I-' - 4 ~ Number of Stories . . . 2'2' _ I u- 8. Dimensions of entire new construction: Front_ 7 '7" If Rear ~ ~ -, Height :2 ~ 1_ ItW Number of Stories :L 9. Size oflot: Front_f3tJ. "0' Rear ~Lf' 211 Depth -:;O~;\~.~I -36.z.' 11~1 I. 0 ,_,1 "R.ear~ 2. -t I . Depth "'~ _ Z 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated /{. '1- 12. Does proposed construction violate any zoning law, ordinance or regulation? YES NO - - - 13. Will lot be re-graded? YES_NO-Will excess fill be removed from premises? YES_NO_ 14. Names of Owner of premises Name of Architect Name of Contractor Address Address Address Phone No. Phone No Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES V- NO _ * 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. 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 !:)v F f. II. ) --.1Jl,eyfl J "'1M _.,,~ being duly sworn, deposes and says that (s)he is the applicant (Name o~ct) above named, (S)He is the ~~ .. 0 - '(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 this l~"~ day of -:r~ll 20 o~- ~".. ~l: "?-~;~ Notary Publi~" .' John M. Judge. NOTARY PueLlC6,State of New York No. 01JU605940 Qualified In Suffolk County Commission Expires May .29, 20 J2J. ."-"" .-....