HomeMy WebLinkAbout32341-Z
FORM NO.4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
Date: 09/19/06
No: Z-31826
THIS CERTIFIES that the building
ADDITION
Location of Property: 840 THE
(HOUSE NO.)
County Tax Map No. 473889 Section 30
CRESCENT
(STREET)
Block 2
EAST MARION
(HAMLET)
Lot 28
Subdivision
Filed Map No.
Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated SEPTEMBER 5, 2006 pursuant to which
Building Permit NO. 32341-Z
dated SEPTEMBER 6, 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 DECK ADDITION TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to GEORGE & KATHLEEN RECHIS
(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
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.
Form No.6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
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APPLICA nON FOR CERTIFICATE OF OCCUPANCY. 1... ,
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_.___,_;:__~ItOLD
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 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 buildings aud "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. ~~{Al ~/
New Construction:
/
Old or Pre-existing Building:
'-{O 'he. Cl-i!.sc..e,J-r po1dlL
House No. Str
(check one)
'f-A- 5""t
W\~:6lU
Hamlet
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Location of Property:
Suffolk County Tax Map No 1000, Section
Subdivision 1>e.\o~~c..... i.~ ~__<
~ t:-~ ~-- \<:)
3 0 Block
'Re c... ~ I(--'s
O'l...
Lot 28
Lot: 2 '1
Owner or Owners of Property: G:..ech-;)-.p
Date of Permit.
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N/I'Y
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Filed Map. {, z.. (, (,
Applicant:
Permit No.
Health Dept. Approval:
Planning Board Approval:
Underwriters Approval:
JifJ/J...
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Request for: Temporary Certificate
..
Fee Submitted: $ 7,-5
Final Certificate:
/' (check one)
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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.
32341 Z
Date SEPTEMBER 6, 2006
permission is hereby granted to:
GEORGE RECHIS
PO BOX 312
EAST MARION,NY 11939
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING ONE FAMILY DWELL IN
AS APPLIED FOR. REPLACES BP # 29221
at premises located at
840 THE CRESCENT
EAST MARION
County Tax Map No. 473889 Section 030
Block 0002
Lot No. 028
pursuant to application dated SEPTEMBER 5, 2006 and approved by the
Building Inspector to expire on MARCH 6, 2008.
Fee $
150.00
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Authorized Signature
I
ORIGINAL
Rev. 5/8/02
~J-3Lf ( &
TOWN OF SOUTHOLD BUILDING DEPT.
765.1802
INSPECTION
[ ] FOUNDATION 1 ST [] ROUGH PLBG.
[ ] FOUNDATION 2ND [] ~ULATION
[ ] FRAMING I STRAPPING ry( FINAL
[ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION
co
DATE j{/;jo h
INSPECTOR
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765.1802
BUILDING DEPT.
SPECTION
[ OUNDATION 1 ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
[ ] FIREPLACE & CHIMNEY
REMARKS:
2
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,DATE ~:41 INSPECTOR
:El.D INSPECTION REPORT DATE COMMENTS
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'UGH FRAME &
PLUMBING
iSULATION PER N. Y.
STATE ENERGY
CODE
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ADDITIONAL COMMENTS:
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FORM NO. 1
TOWN OF SOUTIIOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL: 765-1802
BOARD OF HEALTH ...............
3 SETS OF PLANS ...............
SURVEy........................
CHECK .........................
SEPTIC FORM ...................
DEC ...........................
TRUSTEES ......................
~n::~~. '?-;:: 1.q.~. 5.
MAIL TO: ............. .......
EKmtired.. . !I .J~. .... ..., LOA'!.
Approved....//~4.......,~..
d9;}d-\.~
Permit lb. . J .l.:.,Cj 1.1 ~
Disappnoved a/c ..................................
........................................2b;.... . ..... ~
.. UUU~/~4U
- fuilding Inspector)
APPLICATION FOR BUILDING PERMIT
Date.. ~l.1........, 20.9.<
INSTRUCTIONS
a. This applicatioo IIlISt be ~letely filled in by typewriter or in ink and subnitted to the fuilding Inspector '"
3 sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of wildings 00 premises, relationship to adjoining pranises or pilitic
streets or areas, am giving a detailed description of layout of property IIlISt be drawn on the diagr... which is part of
this applicatioo.
c. The wrk covered by this application my mt be C01IlEnced before issuance of fuilding Permit.
d. Upon approwIl of this applicatioo, the fuilding Inspector will issue a fuilding Permit to the applicant. Such
pennit shall be kept on the premises available for inspection throughout the work.
. e. lb wilding shall be occupied or used in whole or in part for any prrpnse whatever until a Certificate of
Occupancy shall haw! been granted by the fui lding Inspector.
APPLlCATICfi IS lIlREIlY K\IE to the fuilding Del~u..,,,t for the issuance of a fuilding Permit pursuant to the
&lilding Zone Ordinance of the Town of Southold, &1ffolk lhmty, New York, and other applicable Laws, Ordinances or
llegu1atioos, for the IXJOStroction of wildings, additioos or alteratioos, or for reDDIIal or derolition, as herein
described. The applicant agrees to ~ly with all applicable laws, ordinances, wilding code, hous)ng code, and
regulations, and to albit authorized inspectors 00 premises and in wilding for nec~~) _ }~lS.
~ 4 ~ 4. ~ ~ ~. __~~_-~~:;;; .~~ .,-;7.:'-~ .--:?:...................
(Si~e of applicant, or nane, if a corporation)
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...8 ~I.q.. 1".\..<:-.. (.I:f'.s.<l?""!...~. ~:... .~.':~~:.J
(Mailing address of applicant) N.Y. \ I '1 ~ ~
".. GojC 3 \'L.
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumer or wilde
......0. ~ .~. 9, Ie....................................................................................................
Nme of owner of prenises ...S;.~~x.s.~..7..\';.~.~<?~.~....~.~.!2.-h~'..-:;;....................................
(as 00 the tax roll or latest deed)
/
If applicant is a COIJlOtatioo, signature of duly authorized officer.
(Nme and title of corporate officer)'
fuilders License lb. .......~~~~............
PlumetS License lb. .......N/./!:..............
Electricians License lb. .....tJ;(tr...........
Other Trade's License lb. ... ..N~.v.I.-.........
I. Location of lam on lohich proposed work will be done..............................................................
.. B. .1:1.9.. :1.~.~.. .~.I:-.f.? ~~ :':.ct.... .!.~.~. ~?'.. ~ .\. '"!-::.... ~:.. ~ ~.,:":I:.r: ~...~:~:......! .\.~.}.~......
IbJse !bIDer Street 2. 0 C ;L ~et
~-- T Map'~ 1<V>n See' l" 0 0 -";J u fifock -4.- 8 La ~ '"1
.......uty.ax ,'-'. uuu tlon. .'t........._... ................ t "..... .........
lUxIivision ..?e..hk.\~...~..e....~':1..F.'^i:""'.)Filed Map lb. ..G...~.k~... lDt ..'?-:.1.........
(Nme)
2. State existing use am occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ..... f.l~......t.. ~~.........................................................
b. Intended use am occupancy .. ...Ql..f.~ 5.v. r-..~.. "".....................................................
1
1.
"."lUre ot wort< (dJeCk ....id. applicable): New fuilding .......... Addition ...~... Alteration ..........
Repair ............ IlaJuvaI ............. llffinlition ............ Other Work ..................................
4.
~
EstillBted Cost .S.0.~.<?................
(Descri pt ion)
fee ............................ ..................
(to be paid on filing this application)
5.
If dwelling, lUIber of dwelling units ............ tlDber of dwelling units on ead, floor
.................
If garage, IUlber of cars ......................................
i
If husiness, COlIIlercial or milEd occupancy, specify nature and extent of ead, type of use. 4...........,........
\ 1 '
D. . f" 'f Fr U I' Re U I De til S ~
llnenSlOOS 0 ex:lstll)g structures, 1 any: ant........;T..................... ar..... {...................... p,...................................
~O' I
lIeight ......................... tlDber of Stories .... k................ I I
Di".,nsions of ".'""i structure with alterations or additions: Front.... ..../.!....... Rear ..!t.!.........
Depth ......S!J..f.l.~!. lIeight ......3.9.~......... !U1ber of Stories ..b.......... ,
. . f . . Fron ., ., , Re Z. 1-' th Z 8
DUJEnslOOS 0 entIre new coostnactlOO: t ....#':.~................ ar.................... Dep ........................
lie ight .......... s: : .. .. .. . , ... !U1ber of Stories . ~/.t1r: { . .. . .. .. .. .. . ,
Size of lot: Front ....~.?;.U-........ Rear ....f.:.'-!:..'L..:.:..... Depth ..A.~.~:..~.L...
Date of Purd.ase ....Cef.~.11-~';J........ !lane of Fomer Omer ...$.t-.~;...............................
Zone or use district in ....ith premises are situated ..............................................................
Does proposed construction violate any zoning law, ordinance or regulation: ... ~.O................
Will lot be regraded .................... Will excess fill be reDOVed fran premises: YES RJ
NalEs of Omer of premises .~!!'.t;~-!:-;~.~.-:'~J!."...~.. ~t,~~':.e.Y.q.~~..~..::-.~f.";-:t..... Phone No. ':I.?.?.-.n?~
6.
7.
8.
9.
10.
II.
12.
13.
14.
Hare of Architect .................................... Address .............................. Phone No.
Hare of Contractor ................................... Address ...............................Phone No.
Is this property within 300 feet of a tidal l<etland? * YES .......... RJ. X......
*IF YES, 9::l111II1l1lNl 'l1lIm1lK"l ffiIMIT Mt\Y BE RFlPIRIlD.
15.
PLOT DIAGRAM
locate clearly and distinctly all buildings, .nether existing or proposed, and indicate all set--back dilll>nsions
fran property lines. Give street..... block lUIiler or description accocdins to. deed, and &boor street ...... and indicate
lilether interior or corner lot:.., I ~
LOT 28
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srA1E OF l'I;;W YORK,
mMlY OF .......................
.....~~~r:~..~.~.c.:c.~.I:..}.....................being duly swom, deposes and says that he is the applicant
(!lane of individual signing contract)
above """"'.
lie is the........ .~.f,?,o/. \'".5~.. is. ~.S-h.l:. .~......................... :.... ..........................
(Contractor, agent, corporate officer, etc.)
of said owner or owners, and is duly authorized to perform or have perfoTlll>d the said work and to make and file this
application; that all staterents contained in this application are true to the best of his knowledge and belief; and
that the work will be perfoTlll>d in the "'lOner set forth in the application filed therewith.
Swom to~re "" this
... ::7....=.. ..."" ., ~... .W??!.. /~ /
Notary fublic .~.d?c:J.~ ...:4~~0.............
HELENE D. HORNE 5*ture of ApplIcant)
Notary Public, Stata of New VOlt
No. 4951364
Qualified in Suffolk Cou~
CommISSIon Expires May 22,
Of
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FORM NO. 3
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Town Hall
Southold, N.Y.
BUIWING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
~& ~o...~~\
PERMIT NO.
26914 Z
Date NOVEMBER 14, 2000
permission is hereby granted to:
SCHEMBRI HOMES INC
PO BOX 163
WADING RIVER,NY 11792
(Rechis)
for :
CONSTRUCTION OF A DECK ADDITION TO AN EXISTING SINGLE FAMILY
DWELLING AS APPLIED FOR.
840 THE CRESCENT
EAST MARION
at premises located at
County Tax Map No. 473889 Section 030
Block 0002
Lot No. 028
pursuant to application dated SEPTEMBER 7, 2000 and a~proved by the
Building Inspector.
Fee $
75.00
~~",ure
--
ORIGINAL
Rev. 2/19/98
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JOB No. 99-46A
TAX 1.0. No. 1000-3()..{)2-28
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lOr 35
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THE CRESCENT [60']
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THE LOCATION OF WELLS. WATER SERVICE
LINES. SEPTIC TANKS AND CESSPOOLS
SHOWN 1..II:Pr:,")I,. A.9E /""/"'1" ^"~~R\:'
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TrONS AND OR DATA OBTAINED FROM
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GOLF COURse
FILE MAP No. 6266 6111n5
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~ ........ 0I1ddtion to thII document. a YlOIIIIOfI c1 Secbon 72{>>
d the..... York Slate EdUcIIban LN
c..~.. idcIIed hnon IhaI-twl only to Iht pinon lor wnom I II prepwed
ond OIl "" _'" u. _eon..n..Gc>ooor.......... _ ond LIndrng
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CcoiMd...._..._u.~.__..._
.....,..fD~~.'f'elicltrutOOf1f.
The ofketa ( or dIrnensiorw, ) WDw\ hereon from ttructl.U'W to the proprerty lines are
rcw alpeOllic r:uPOM'" u.. Md Ihefefont ere net inIIInded to guide the el8CtlOfl d
fencft, ~ wall, pooII, pitioa, p&anbrv ...... ~ to buIIdirQI. or any other
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The edIIence of nght dwaya and/or .-nent. oll'tlCOfd. If any, not .no.m are
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SURVEY OF~ LOT 27
MAP OF PEBBLE BEACH FARMS
EAST MARION, TOWN OF SOUTHOLD
SUFFOLK COUNTY. NEW YORK
CERTIFIED ONLY TO:
GEORGE AND KATHLEEN M. RECHIS
NORTH FORK BANK
TPS ABSTRACT CORPORATION
,
i SURVEY DATE: 5/16100 SCALE: 1"=40' '
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DESTIN G. GRAF
LAND SURVEYOR
By DESTJN G, ,S'R."f!-lX.S!-IC. N9 ~Ooo.7 ,
73 WoodIown ROIcl
RocIcy Pcint. New Yonc. 11 ns
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APPROVED AS NOTED ~
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NOTIFY BUILDING DEPARTMENT AT
765-1802 9 AM TO 4 PM FOR THE
FOLlOWING INSPECTIONS:
1. FOUNDATION - lWO REQUIRED
FOR POURED CONCRETE
2. ROUGH - FRAMIr:G . PWMBING
3. INSULATION
4. FINAL - CONSTRUCTION MUST
BE COMPLETE FOR C.O.
ALL CONSTRUCTION SHALL MEET
THE REQUIREMENTS OF THE N.Y.
STATE CONSTRUCTION . ENERGY
CODES. NOT RESPONSIBLE FOR
DESIGN OR CONSTRUCTION ERRORS
.
~C<!'
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY
DO NOT PROCEED WITH
FRAMING UNTIL SURVEY
OF FOUNDATION LOCATION
HAS BEEN APPROVED.
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