HomeMy WebLinkAbout30424-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
. Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 09/15/06
No: Z-31822
THIS CERTIFIES that the building MASONRY FIREPLACE
Location of Property: 8325 MAIN RD
(HOUSE NO.)
County Tax Map No. 473889 Section 31
(STREET)
Block 2
EAST MARION
(HAMLET)
Lot 32.4
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated
JUNE 18, 2004 pursuant to which
Building Permit No. 30424-Z
dated
JUNE 22, 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 INSTALLATION OF MASONY FIREPLACE IN EXISTING SINGLE FAMILY DWELLING
AS APPLIED FOR.
The certificate is issued to ROBERT E HARRINGTON
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL
N/A
N/A
ELECTRICAL CERTIFICATE NO.
N/A
PLUMBERS CERTIFICATION DATED
Rev. 1/81
Form No.6
TOWN OF SOUTH OLD
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 211 0 of I % 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:
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 buil~ing $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 $15.00
Date. 9-7- 0(,
Old or Pre-existing Building:
~(2J.
L~~
03 Block
v
(check one)
\
f~ L0AOVln fl
Hamlet
New Construction:
Location of Property: 6?, ::l-f"
House No.
Owner or Owners of Property: L~ L-. f
Suffolk County Tax Map No 1000, Section
O()O L
Lot 03 ').oot;
Subdivision
Permit No. 3 0 \.f t.- vr
Date of Permit.
Filed Map.. -:(-ot:
(,-1-1, - 0 '1 APPlicant:_f2~~ , t$J.~
Underwriters Approval: f/ A-
Health Dept. Approval:
f'J~
Planning Board Approval: P A
Request for:
Temporary Certificate
Final Certificate:
~check one)
Fee Submitted: $ ~.s- i) .
Applicant Signature
~~ttP
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.
30424 Z
Date JUNE
22, 2004
Permission is hereby granted to:
ROBERT E HARRINGTON
PO BOX 525
EAST MARION,NY 11939
for :
CONSTRUCTION OF A MASONRY FIREPLACE AS APPLIED FOR
8325 MAIN RD
EAST MARION
at premises located at
County Tax Map No. 473889 Section 031
Block 0002
Lot No. 032.004
pursuant to application dated JUNE 18, 2004 and approved by the
Building 'nspectur to expi= on DEC~'~~'---~
Fee $ 150.00/ \
ORIGINAL
Rev. 5/8/02
jO>L-2- ~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] I)ISOLATION
[ ] FRAMING [~INAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
REMARKS:
,
DATE
INSPECTOR
-
jo5L2->L~
765.1802
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1 ST [
[ ] FOUtfDATION 2ND [
[ri~MING [
[r1FIREPLACE '& CHIMNEY [
(Jlc
REMARKS:
] ROUGH PLBG.
] INSULATION
] FINAL
] FIRE SAFETY INSPECTION
I--b
,
c~
DATE
..
INSPECTOR
~
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FIELD INSPECTION REPORT DATE COMMENTS lJJ.."
o tol
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FOUNDATION (1ST) tJ-
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FOUNDATION (2ND) S> '"
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INSULATION PER N. Y. . ""
STATE ENERGY CODE
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" ADDmONAL COMMENTS
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. p'A 0;; ~2.""tOWN
60 0- 3/~ 2.-
OWNER
,
OF SOUTHOLD ~OPERTY RECORD CARD
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STREET
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VILLAGE
DIST.
SUB.
RES. dlO
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'. FORMER OWNER
.()onna ~ 1"'::' (CIS
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SEAS. VL.
ACR.
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1.-
TYPE OF BUILDING
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h L0
FARM
COMM.
CB. MICS. Mkt. Value
LAND
IMP.
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,~
TOTAL
DATE
REMARKS
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[400
~ c) \.{ d-~
d5-66
AGE
NEW
FARM
BUILDING CONDITION
NORMAL
BELOW
ABOVE
Acre
Value Per
Acre
Value
Tillable
FROt4'f~(!!! 0[4 YI-ATCR ':~.:}
,j j
Woodland
House Plot
FRONTAGE ON ROAD 2, .l n
DEPTH
BULKHEAD
Meadowland
Total
DOCK
.-" 8#
- ,...
.,.; -
31-2-32.4 9/03
y I
Extension
= V
Extension
Extension
Porch
50
I?
Porch
Breezeway
Garage
Patio
'J"1}
-'I'-/~
Total
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OR
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Foundation
-S"I Basement
Ext. Walls
Fire Place
Type Roof
Recreation Room
Dormer
,RIM
:~ k; Ie-
..."
~
Bath / i Dinette I
<-
Floors , K.
f!:;<t /(
interior Finish PL-1.s-!,.y LR.
Heat DR.
e
Rooms 1 st Floor BR.
Rooms 2nd Floor FIN. B
Driveway
leas; 50'
~~e~
C:~!) .
.N~''''~' ~.\=t.
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Exaniood.....~..r-?:..... J<... b ~
Approved.....f.4?-:?...~.~~ Pennit lb.
Disapproved ale .hot;;.~.~.......
.~M~~~~giJ;~~1.7 .......
; --. '01 ;-;.' n \\r: I'. i \.[
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.FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD. N.V. 11971
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEy........................
CHECK .........................
SEPTIC FORM...................
NOTIFY:
CALL . ~ 1.7.~ r>. 7. 1. . ..
MAIL TO:....................
BOL\~ L\
a..............
18Zll4 "~I
i
,
\
IT
Date :~~.Q '-:I:: ~.o. '1,-1+:"...
"-.-._..-~._._.._.......- -
,
..~_...........'
INSTRUCTIONS
a. This application IDJSt be .".,.,letely filled in by typewriter or in ink and subnitted to the lkJilding Inspector wil
3 sets of plaos. accurate plot plan to scale. Fee according to schedule.
b. Plot plan lioring location of lot and of buildings on prsnises. relationship to adjoining premises or p.ililie
streets or areas. and giving a detailed description of layout of property IDJSt be drawn on the diagran .ttich is part of
this application.
c. The work covered by this application may not be OO11lI!nced before issuance of lkJilding Pennit.
d. Upon approval of this application. the Ibilding Inspector will issue a Ibilding Pennit to the applicant. Such
pennit shall be Irept on the prsnises available for inspection thI'Ol1lPlut the work.
e. lb building sball be occupied or used in .mole or in part for any pn-pose .mstever until a Certificate of
Or"''I'"''''Y shall have been granted by the lbilding Inspector.
Al'l'LICATI(Jif IS JI!IlEBY !WE to the Ibilding Department for the issuance of a Ibilding Penni t pursuant to the
lbilding Zone Ordinance of the 'Ibwn of Soothold. Suffolk County. New York. and other applicable Laws. Ordinances or
RegulatiOO8. for the coostruction of buildings. additiOO8 or alterations. or for rEIIDYlll or derolition. as herein
described. The applicant agrees to .".,.,ly with all applicable lam. ordinances, building code. housing code, and
regulations. and to lIlbit ....thorized inspectors 00 prsnises and in building for necessary inspections.
...f.q~. r:..~4:::.. ....... ....... ......
(Signature of applicant. or nme. if a corporation)
!?:?~4t.~ .~l~:'. r.1~~ mq.r.r.~P.. .~~:r if'!;!,l..
(Mailing address of applicant)
State whether applicant is owner. lessee. agent, architect. engineer.' general contractor. electrician. plllliler or builder
......--:f).~..................................................................................................
Name of owner of prsnises ..~c.~(~~.~~~.~)...................................................
/
If applicant is a corporation. signature of wly authorized officer.
(Name and title of corporate officer)
Ibilders License lb.
Pllllilers License lb.
.!f.f:.................. .
Electrieiaos License lb. .....................
Other Trade's License lb. ....................
J. Wcation of land on .ttich proposed work will be dooe...$~ .'1.c-.... .;............................................
....~;?~.~..................tl7f.(I.~.~({...............................~t<.it:..l1:}~.(O.~..................
lbJse !bdler Street Hanlet
County Tax Hap lb.[/~E3~tion ....t1?L....... Block ...~.1,-....... Lot .?~.!;:. ?~X..
&Jbdivision ... ................................... Filed Hap lb. ............... Int...............
(Name)
2. State existing use and tv"n'I'"""Y of prsnises and intended use and occupancy of proposed construction:
Exi' and L.. J - .. 123', J,,".0\.1
a. StIng use tv"n'I'"""Y ........;~..IhtII,,"ltro.,;,t.t")~,)':-1.islOlll..............................
, . ~~ Heool3!l1O .011 (
b. Intended use and occupancy ....~.C-~..~.~.~~~~...,............................
3.
!'..ture of work (check w,id, applicable): New fuilding .......... Jlddition .~..... Alte Ii
Repair............ Remval ............. llBwlition ............ Other Work ........... .,.
Cf . ~Descripti
Esti,mted Cost l";:;'r.f!!:..~.... ... .... fee .. ............ ...... ..... ..... ...... ..........
(to be paid on filing this application)
If Well ing, ru1ber of dwelling units ... J....... ItJJber of Welling units on each floor .~..............
4.
5.
If garage, <Ulber of cars ......................................
6. If business, cmmercial or mi1ll!<l occupancy, specify nature aod extent of each type of use......................
7.
Dimensions of existing structures, if any: Front................ Rear ............... Deptl,
8.
lleight ......................... ItJJber of Stories ......................
Dimensions of same structure with alterations or additions: Front............... Rear...............
Depth .................... Height .................... ItJJber of Stories ...............
Dimensions of entire new construction: Front................ Rear ............... Depth ..............
lleight ......................... ItJJber of Stories .....................
Size of lot: Front.. ";'.8. ! . . . . . . .. .. . .. Rear . ..J-/J '.i. ~ . . . . . .. . . .. Depth .~;5.:/............
A-pM'" I. 1.,17_ nr " i
Date of Purdlase ..................... Nare of Former o.ner .?Q....;r....~.......;.~........
Zone or use district in w-.ich pI'8llises are situated ..............................................................
Does proposed construction violate any zoning law, ordinance or regulation: ........................
will lot be regraded .110............... will excess fill be remved fran premises: YES @
9.
10.
II.
12.
13.
14.
Nares of o.ner of premises ........................... Jlddress .............................. Fhone lb.
Nare of Architect .................................... Jlddress .............................. Fhone lb.
Nare of Contractor ................................... Jlddress ...............................Fhone lb.
15. 15 this property within 300 feet of a tidal ""tlaod? '" YES .......... RJ.. X......
"'IF YES, !D1IlIID 1tDl 11UJ1u.:> PEIMIT MAY BE \lIlQJ1RIID.
srAIE IX' rt;w YORK,
aunY IX'tQl,I.ffil.K............. SS
.... ~~.(+... .~.!.!.'~ !".l.0t. b............ ..being duly swom, deposes aod says that.he is the applicant
(Nare of individual signing contract'.>
above named, C
. _..Ir-...c.tu<.
lie IS the ....................... ...(j.Y.r:J;i..~..............................................................
(Contractor, agent, corporate officer, etc.)
of said """"r or """"rs, aod is duly authorized to perfonn or have performed the said work aod to nnke aod file this
application; that all statements contained in this application are true to the best of his knowledge aod belief; and
that the work will be performed in the manner set forth in the application filed therewith.
Swam to ~~ me this
.. .. . .. .1. . .. .. .. . y of
nOT DIAGRAM
locate clearly aod
fran properly lines.
lt1ether interior or
\
Istinctly 1 buildings, Wether existing or proposed, aod indicate all set-back dimensions
street aod ock ru1ber or description according to deed, aod shoW' street names aod indicate
riot.
~~
~
'lPFary Public
'.
.e~.~: "'~'"
CARQl.8ESl (Signature of Appli~
IlalIIJ PIIbIic_"" 'AIItl
No. 01 71L
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SURVEYED FOR:- ,f1:;L3ERT J-/AI2I2/'-/GToJJ
LOCATED AT EAST I1d4<:?/o,v
LOT -3
MAP OF OOA/"-/'A IGLeSIAS lA/EXLER
SCALE 1"~ GD'
SUFFOLK CO TAX MAP DATA:-
DIST.lOOO , SEc.03/00
BLK.OZ 170 LOT 032,004
OfFSETS fROM STRUC1URtl>
TO "'t:! t 1'(,1;: [::C:.;:;D:~< LINES.
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SURVEYED SEep T. 9, 1997 BY
RAMPART SURVEYING P.C.
PIO BOX 340
EAST MORICHES, L.I., N.Y. 11940
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APP OV AS NOTED 0
/ 22. up # ?tJ '(;2 r
DATE: ~ 0 . ,
6,d ~'/ ~
FE : . ,,- ' .' . ,
NO F BUIUI" Lr;, leNT AT
76 .1802 8~M J 4 ",Vi 1-LR THE
FOLLOWING INSP~C:'()NS: ,
1. FOUNDATIO~, _'~!"'~~UIRED
FOR POURED ,HJC1C' t
2, ROUGH. FRA1v' N:; " ?LUMBING
3 INSULATION
4: FINAL . CON~"'D'j('-'?N MUST
BE COMPLETE FCc, cO,
ALL CONSTRUCTION SHALL MEET THE
REQUIREMENTS OF THE CODES OF NEW
YORK STATE. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS,
~. E:--C--I' 0 ~~
~..::::-/->-- L-~ ~ \ /z." = I' -..;> ..
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
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COMPLY WITH ALL CODES COO OF ES
RK STATE & TOWN
~;~ ~O IRED AND CONDITIONS OF
SOlJTl-\OLD TOWN ZSA
SOL- "OLe .OWN P:.ANNING BOARD
SOvirlOLG iOWNTRUSTEES
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631:-765 - 5455
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Architect rKommends u.. of ImpKt ,......nt gluing only. usa of wood struetunll panel.
.. OUlIlned Nlow. In lieu of Impact. rulstMt gluing aIthougIl code compliant. I. not
con.1cIerH an acc.pIable option by 1M Arc:Ntect and will be the .ole re.pon.ibllity of the
OwMr. The Owner ag..... by hi. slglllllln below to totally hold harmles. the Architect
from uy IlIIblUty wttIl reprd to the In-I ~ lit"" usa and removal of Mid wood stNCtural
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MCtIon RS81.2.1.2 and Tallie RI01.2.1.2 01 the "Iteslclentlal Code 01 New Yortl Sta&e" latest
edition. Structural...... _ to be a minimum of 1/1" tblck with a malllmum dlm.nalon of
S' In uy direction. F..'.n.... _ to be 2-112" II (ntlnImuIII) alalnl... ....1 wood .c_
inalatl.d .vary 1." arouncI....lntlre parIlMter for panel..... ....than .' or ev.ry 12"
around thllntIre partmeter for panal apan.grMtlr than e' but /In than S'.
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1230 Travel~r Street Southold
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631,-765 - 5455
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N.Y. 11971
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