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Home My WebLink About32111-Z FORM NO.4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31778 Date: 08/28/06 THIS CERTIFIES that the building ACCESSORY (STREET) Block ~ Lot EAST MARION (HAMLET) 11.31 Location of Property: 9245 MAIN RD (HOUSE NO.) County Tax Map No. 473889 Section 31 SUbdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JUNE 9, 2006 pursuant to which Building Permit No. 32111-Z dated JUNE 14, 2006 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 12' X 24' STORAGE BUILDING AS APPLIED FOR. The certificate is issued to EAST MARION FIRE DEPARTMENT (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. N/A PLUMBERS CERTIFICATION DATED N/A Rev. 1/81 r--~~....~.'---- LI?7./0/03 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 ~___r'_ ~,2 8 .':':':'1..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: 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 2/1 0 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 Date. 1f'1 ~ 2 d"1 1 00 to , Q1 J) \' Location of Property: L_"2 J House No. Owner or Owners of Property: ~ 1\ .J Suffolk County Tax Map No 1000, Section N~ I 11 ILJ ~t:~~()n ~ t}" Block (;Q,l.j ( check one) HiJ.r, ()Y'") New Construction: Old or Pre-existing Building: Hamlet -;7)t,I-+(/L-J- ~ Lot Subdivision Filed Map. Lot: Date ofpermit6 .1 L(. () (", Applicant: (1.Jd /~r ~ if);.. Underwriters Approval: Permit No. 3 J./ J ) . Health Dept. Approval: Planning Board Approval: Request for: Temporary Certificate Final Certificate: / (check one) fJJ~k.m~ / ~OtJJfLJ- ~/I~ ~- Fee Submitted: $ --~ 0.0 :C3/779J 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. 32111 Z Date JUNE 14, 2006 Permission is hereby granted to: EAST MARION F. D. PO BOX 131 EAST MARION,NY 11939 for : CONSTRUCTION OF A 12'X 24' ACCY STORAGE STRUCTURE AS APPLIED FOR at premises located at 9245 MAIN RD EAST MARION County Tax Map No. 473889 Section 031 Block 0003 Lot No. 011.031 pursuant to application dated JUNE 9, 2006 and approved by the Building Inspector to expire on DECEMBER 14, 2007. Fee $ 0.00 ~~ I Authorized Signature ORIGINAL Rev. 5/8/02 32-///t- TOWN OF SOUTHOLD BUILDING DEPT. 765.1802 INSPECTION [ ] FOUNDATION 1 ST [] ROUGH PLBG. [ ] FOUNDATION 2ND [] IN~TION [ ] FRAMING I STRAPPING [ ~NAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION REMARKS: DATE INSPECTOR . FIELD INSPECTION REPORT DATE FOUNDATION (lSn FOUNDATION (2ND) . ROUGH FRAMING & PLUMBING INSULATION PER N. y, STATE ENERGY CODE FINAL '. . , , , i'1~ ~~,.. r n I ( --;7l ,th ,-ra- p ,ADDITIONAL COMMENTS COMMENTS . 1.1-., / -7 ) , , 4 w.... ~!'l =~ -- I\.);; '::i> [\d r. '" -t..!'l z o .S-l' ~ -<=-", V\~ ?~ s. ~ ~ t'" l'<l .., ,\\ ~. ~ {: ~ ~ ~. .'. fo -. ::E ::; ffi 7\::0 ? tJ c,' -t , ....... 'Y i'l \ ~ .... j~ o :z 2-~ ~~ J = el i'l ." " TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www.northfork.net/Southold/ BUILDING PERMIT APPLICATION CHECKLIST PERMIT NO. 31..//IL Do you have or need the following, before applying? Board of Health 4 sets of Building Plans Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to:i'F4-s-r ,#7#It)fPJ hlt8 f},sT g I5DI< 1.31 t4srmR4J"pt /If<Y' Phone: rt-gV" 7J~ol?3 Approved Disapproved ale '(f),200-' ~/I~ I , 20 Ok, Examined /d/1i,20fl- j/~ Building Inspector Expiration 1'"" """ ~~[CATION FOR BUILDING PERMIT . JU,I 9 ~ "" \ INSTRUCTIONS Date" I oS-' ,20 ot;;, a. Th~c:~~~~tiPn MUST b~ :<l9~PlelelY filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, te-plot plan to scale. ee accordmg to schedule. b. Plot plan showing location ofIot 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 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 on premises and in building for necessary inspections. ~ "?/~A00 r.A"2-ff .tJ..:s-;r.i;C/T (Signature of applicant or name, if a corporation) ;5 ,(f)"", '/3/ c=.. /,??/!?.-e-./"vU "'17 //S' 6'- (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder ()<,.J,.J~ Name of owner of premises E~s-r ///#4./0-"; h/Z.t!r ()S17Z..cr (As on the tax roll or latest deed) e of duly authorized officer ~."-l:!': Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. 1. Location ofland on which proposed WO(l<: will be done: Q3'ts ~".:1.S' e.a"f' ~"N JJI1 /1'i3"i House Number Street Hamlet County Tax Map No. I 000 Section Subdivision 1,) Block () '3 Filed Map No. Lot /1.3/ Lot (Name) 1---- 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy Ad::e5S(J' ~N'''~ b. Intended use and occupancy .I1~S ',? __ ~ 3. Nature of work (check which applicable): New Building / Addition Alteration Repair Removal Demolition Other Work 4. Estimated Cost i> ~.:rtN> ~ (Description) Fee 5. If dwelling, number of dwelling units If garage, number of cars (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 Height Number of Stories Rear Depth Dimensions of same structure with alterations or additions: Front Rear Depth Height Number of Stories 8. Dimensions of entire new construction: Front / 'Z...-- Rear Height Number of Stories '" 2- ,I Depth Zy I 9. Size oflot: Front Rear Depth 10. Date of Purchase Name of Former Owner I I. Zone or use district in which premises are situated /Z I/O 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 4,;1- Address Address Address ..51,"J-- Phone No. .y~ Phone No Phone No. 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 Bf REQUIRED. -t-- 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 ) ~... Jd -A 'i)~~'iOV being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, . (S)He is t~4-^' Ut.e~ ~mC-lf'{.. Dr Ii-4. E:/I?F Ihs'h..o C c:on."'/$S~EA-) (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 \Q before me this <1'/1'- ~~20~ --- Notary Public Jl\. ~E.~'1o/f. ~=,:'~:f~7 ~~ -...--'- \ ~ :) C> C'l \ \ I'l 11'e1''31' ~ \..Oi 40 LOT 1 ~ x,' . .00 ,0"- "J~ "\\ '" . \ ~ y/\ \ \ \ \ " ~ '- ~ \ ~ s' p ? / r ( I ~ .'" .'e. ~ ~~T MARION, 'HOWN fEREON. ~40 t~ ~,€. ~~ to" '- \06.'2.4' , " ~ p s ~ . L "%. -- o -- .... ~ {'""4:,. .... "l> ~ d 1- ~ , . , \~ \ ~~ . \ \1~/'\.\ / . \ \ '\ ~ ,<:'~ I~ /